| Viva Superheroes Behavior Services | |
|
38651 Glenbush Ave Palmdale CA 93550-4213 | |
| (661) 317-5093 | |
| Not Available |
| Full Name | Viva Superheroes Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 38651 Glenbush Ave, Palmdale, California |
| Authorized Official Name and Position | Jessica Faina Pavia (BCBA) |
| Authorized Official Contact | 6613175093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Superheroes Behavior Services 38651 Glenbush Ave Palmdale CA 93550-4213 Ph: (661) 317-5093 | Viva Superheroes Behavior Services 38651 Glenbush Ave Palmdale CA 93550-4213 Ph: (661) 317-5093 |
| NPI Number | 1548893076 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548893076 | NPI | - | NPPES |
| 1518393115 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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