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1000 S Fremont Ave Unit 63 Alhambra CA 91803-8824 | |
| (714) 683-5876 | |
| (888) 420-6257 |
| Full Name | |
|---|---|
| Speciality | Behavior Technician |
| Location | 1000 S Fremont Ave Unit 63, Alhambra, California |
| Authorized Official Name and Position | Roger A Iris (CFO) |
| Authorized Official Contact | 8184155016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2201 E 4th St Santa Ana CA 92705-3804 Ph: (714) 683-5876 | 1000 S Fremont Ave Unit 63 Alhambra CA 91803-8824 Ph: (714) 683-5876 |
| NPI Number | 1326509118 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326509118 | NPI | - | NPPES |
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