| Forwardprogress Behavior Llc | |
|
25399 The Old Rd Apt 10102 Stevenson Ranch CA 91381-1648 | |
| (626) 597-4443 | |
| Not Available |
| Full Name | Forwardprogress Behavior Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25399 The Old Rd Apt 10102, Stevenson Ranch, California |
| Authorized Official Name and Position | Richard Tanis (OWNER) |
| Authorized Official Contact | 6265974443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forwardprogress Behavior Llc 25399 The Old Rd Apt 10102 Stevenson Ranch CA 91381-1648 Ph: (626) 597-4443 | Forwardprogress Behavior Llc 25399 The Old Rd Apt 10102 Stevenson Ranch CA 91381-1648 Ph: (626) 597-4443 |
| NPI Number | 1760281745 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760281745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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