| Willow And Cypress Consulting | |
|
3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 | |
| (949) 229-5651 | |
| Not Available |
| Full Name | Willow And Cypress Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3200 E Guasti Rd Ste 100, Ontario, California |
| Authorized Official Name and Position | Manuel Ramirez (CHIEF CLINICAL OPERATIONS OFFICER) |
| Authorized Official Contact | 9492295651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow And Cypress Consulting 3200 E Guasti Rd Ontario CA 91761-8660 Ph: (949) 229-5651 | Willow And Cypress Consulting 3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 Ph: (949) 229-5651 |
| NPI Number | 1275116865 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275116865 | NPI | - | NPPES |
| 1013258292 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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