| Imperial Valleyrespite, Inc. | |
|
630 S. Imperial Ave., Ste. 2 Brawley CA 92227 | |
| (760) 351-0825 | |
| (707) 561-7746 |
| Full Name | Imperial Valleyrespite, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 630 S. Imperial Ave., Ste. 2, Brawley, California |
| Authorized Official Name and Position | Catalina A Santilla (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7603510825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valleyrespite, Inc. 630 S. Imperial Ave., Ste. 2 Brawley CA 92227 Ph: (760) 351-0825 | Imperial Valleyrespite, Inc. 630 S. Imperial Ave., Ste. 2 Brawley CA 92227 Ph: (760) 351-0825 |
| NPI Number | 1548755283 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548755283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-26978 (California) | Primary |
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