| The Co-creative Center Llc | |
|
19712 Macarthur Blvd Ste 101 Irvine CA 92612-2407 | |
| (949) 385-1656 | |
| Not Available |
| Full Name | The Co-creative Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19712 Macarthur Blvd Ste 101, Irvine, California |
| Authorized Official Name and Position | Peggy Tsai Truong (BEHAVIOR ANALYST) |
| Authorized Official Contact | 4087689800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Co-creative Center Llc 19712 Macarthur Blvd Ste 101 Irvine CA 92612-2407 Ph: (949) 385-1656 | The Co-creative Center Llc 19712 Macarthur Blvd Ste 101 Irvine CA 92612-2407 Ph: (949) 385-1656 |
| NPI Number | 1104591239 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104591239 | NPI | - | NPPES |
| 1427353317 | Other | CA | BCBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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