| Advanced Behavioral Interventions | |
|
2301 Bonita St Lemon Grove CA 91945-3608 | |
| (619) 246-6471 | |
| Not Available |
| Full Name | Advanced Behavioral Interventions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2301 Bonita St, Lemon Grove, California |
| Authorized Official Name and Position | Laura Lizette Chavez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6192466471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Interventions 2301 Bonita St Lemon Grove CA 91945-3608 Ph: (619) 246-6471 | Advanced Behavioral Interventions 2301 Bonita St Lemon Grove CA 91945-3608 Ph: (619) 246-6471 |
| NPI Number | 1376125872 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376125872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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