| Innovating Behaviors Llc | |
|
1303 Coffee Rd Modesto CA 95355-3102 | |
| (760) 905-2479 | |
| Not Available |
| Full Name | Innovating Behaviors Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1303 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | Isabel Jimenez (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2095853321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovating Behaviors Llc Po Box 4295 Modesto CA 95352-4295 Ph: () - | Innovating Behaviors Llc 1303 Coffee Rd Modesto CA 95355-3102 Ph: (760) 905-2479 |
| NPI Number | 1225707938 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225707938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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