| Compassionate Care Behavioral Supports Llc | |
|
9225 Wilson Ranch Rd Phelan CA 92371-7305 | |
| (760) 265-9510 | |
| Not Available |
| Full Name | Compassionate Care Behavioral Supports Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9225 Wilson Ranch Rd, Phelan, California |
| Authorized Official Name and Position | Melissa Christine Carey (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7602659510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Behavioral Supports Llc 2108 N St Ste N Sacramento CA 95816-5712 Ph: () - | Compassionate Care Behavioral Supports Llc 9225 Wilson Ranch Rd Phelan CA 92371-7305 Ph: (760) 265-9510 |
| NPI Number | 1588346175 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588346175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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