| Larbardo Corporation | |
|
750 Farroll Rd Unit E Grover Beach CA 93433-2654 | |
| (805) 481-7529 | |
| (805) 481-7529 |
| Full Name | Larbardo Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 750 Farroll Rd, Grover Beach, California |
| Authorized Official Name and Position | Lawrence Alan Bardach (PEDIATRIC OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 8054817529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larbardo Corporation 750 Farroll Rd Unit E Grover Beach CA 93433-2654 Ph: (805) 481-7529 | Larbardo Corporation 750 Farroll Rd Unit E Grover Beach CA 93433-2654 Ph: (805) 481-7529 |
| NPI Number | 1225280027 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 04/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | OT4352 (California) | Primary |
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