| Windrose Behavior Directions | |
|
1916 Virazon Drive La Habra Heights CA 90631-7779 | |
| (562) 743-0701 | |
| (562) 691-0701 |
| Full Name | Windrose Behavior Directions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1916 Virazon Drive, La Habra Heights, California |
| Authorized Official Name and Position | Martha Sue Cook Klassen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5627430701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windrose Behavior Directions 1840 W Whittier Blvd # 202 La Habra CA 90631-3623 Ph: (562) 734-0701 | Windrose Behavior Directions 1916 Virazon Drive La Habra Heights CA 90631-7779 Ph: (562) 743-0701 |
| NPI Number | 1770839714 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770839714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 12-10522 (* (Not Available)) | Primary |
Nolan R Ung Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 727 West Rd, La Habra Heights, CA 90631 Phone: 909-936-2631 Fax: 949-502-8887 |