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2616 Vyn Dr Bakersfield CA 93306-4665 | |
| (661) 330-1425 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2616 Vyn Dr, Bakersfield, California |
| Authorized Official Name and Position | Elizabeth Barrientos Ramirez (DIRECTOR) |
| Authorized Official Contact | 6612410633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2616 Vyn Dr Bakersfield CA 93306-4665 Ph: (661) 241-0633 | 2616 Vyn Dr Bakersfield CA 93306-4665 Ph: (661) 330-1425 |
| NPI Number | 1346051323 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 02/08/2025 |
| Certification Date | 02/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346051323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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