| 1 Spectrum Therapy | |
|
23046 Avenida De La Carlota Ste 600 Laguna Hills CA 92653-1537 | |
| (714) 805-9070 | |
| Not Available |
| Full Name | 1 Spectrum Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23046 Avenida De La Carlota Ste 600, Laguna Hills, California |
| Authorized Official Name and Position | Jessica Chen Berghauser (CEO) |
| Authorized Official Contact | 5622017119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Spectrum Therapy 22365 El Toro Rd Ste 151 Lake Forest CA 92630-5053 | 1 Spectrum Therapy 23046 Avenida De La Carlota Ste 600 Laguna Hills CA 92653-1537 Ph: (714) 805-9070 |
| NPI Number | 1023747482 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023747482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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