| The Behavior Lab Llc | |
|
11799 Sebastian Way Ste 103 Rancho Cucamonga CA 91730-0708 | |
| (909) 353-7547 | |
| (909) 243-7903 |
| Full Name | The Behavior Lab Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11799 Sebastian Way Ste 103, Rancho Cucamonga, California |
| Authorized Official Name and Position | Kristen Ludwick (FOUNDER) |
| Authorized Official Contact | 9093537547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Lab Llc 29012 Brookings Ln Highland CA 92346-7766 Ph: (303) 324-3701 | The Behavior Lab Llc 11799 Sebastian Way Ste 103 Rancho Cucamonga CA 91730-0708 Ph: (909) 353-7547 |
| NPI Number | 1265171680 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265171680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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