| Wickett Behavioral Solutions | |
|
6515 Sandy Point Ct Rancho Palos Verdes CA 90275-5871 | |
| (818) 437-0378 | |
| (877) 258-0470 |
| Full Name | Wickett Behavioral Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6515 Sandy Point Ct, Rancho Palos Verdes, California |
| Authorized Official Name and Position | Corinne Elizabeth Wickett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8184370378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wickett Behavioral Solutions 6515 Sandy Point Ct Rancho Palos Verdes CA 90275-5871 Ph: (818) 437-0378 | Wickett Behavioral Solutions 6515 Sandy Point Ct Rancho Palos Verdes CA 90275-5871 Ph: (818) 437-0378 |
| NPI Number | 1174064174 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 05/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174064174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-05-2207 (California) | Primary |
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