| Wolfpack Aba, Llc | |
|
25875 Lake Shore Ln Moreno Valley CA 92551-1651 | |
| (714) 552-8972 | |
| Not Available |
| Full Name | Wolfpack Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25875 Lake Shore Ln, Moreno Valley, California |
| Authorized Official Name and Position | Peter Degravio (OWNER) |
| Authorized Official Contact | 7142532682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolfpack Aba, Llc 25875 Lake Shore Ln Moreno Valley CA 92551-1651 Ph: (714) 552-8972 | Wolfpack Aba, Llc 25875 Lake Shore Ln Moreno Valley CA 92551-1651 Ph: (714) 552-8972 |
| NPI Number | 1588323729 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588323729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Humanistic Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12981 Perris Blvd Ste 107, Moreno Valley, CA 92553 Phone: 951-243-3500 | |
Catholic Charities San Bernardino/riverside Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23623 Sunnymead Blvd, Suite E, Moreno Valley, CA 92553 Phone: 951-924-9964 Fax: 951-924-9997 | |
Tranquilidad Counseling Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27193 Woodglen Ln, Moreno Valley, CA 92555 Phone: 323-519-2482 | |
Psychological And Substance Abuse Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21250 Box Springs Rd Ste 201, Moreno Valley, CA 92557 Phone: 951-335-5858 Fax: 951-335-5870 | |
Tyl Mental Health In Home Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13800 Heacock St Ste 116, 19355 Redrock St Perris,ca 92570, Moreno Valley, CA 92553 Phone: 323-646-7561 Fax: 951-247-3504 | |
Ssg Riverside Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13800 Heacock St Ste C220, Moreno Valley, CA 92553 Phone: 951-653-1800 Fax: 951-653-1815 | |
Moreno Valley Sapt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23119 Cottonwood Ave Ste A100, Moreno Valley, CA 92553 Phone: 951-955-3306 |