| Strive Behavioral Intervention Inc. | |
|
192 E Line St Ste A Bishop CA 93514-3532 | |
| (760) 582-2005 | |
| Not Available |
| Full Name | Strive Behavioral Intervention Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 192 E Line St Ste A, Bishop, California |
| Authorized Official Name and Position | Kelly Devine Wedberg (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7177813924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strive Behavioral Intervention Inc. 192 E Line St Ste A Bishop CA 93514-3532 Ph: (760) 582-2005 | Strive Behavioral Intervention Inc. 192 E Line St Ste A Bishop CA 93514-3532 Ph: (760) 582-2005 |
| NPI Number | 1215479498 |
|---|---|
| Provider Enumeration Date | 11/05/2016 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215479498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11415917 (* (Not Available)) | Primary |
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