| Tlb Supports Inc. | |
|
22906 Cheyenne Dr Valencia CA 91354-2521 | |
| (661) 436-0224 | |
| Not Available |
| Full Name | Tlb Supports Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 22906 Cheyenne Dr, Valencia, California |
| Authorized Official Name and Position | Robert Rudolph (CHIEF FINANCIAL & COMPLIANCE OFFICE) |
| Authorized Official Contact | 8189342600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlb Supports Inc. Po Box 801852 Valencia CA 91380-1852 Ph: () - | Tlb Supports Inc. 22906 Cheyenne Dr Valencia CA 91354-2521 Ph: (661) 436-0224 |
| NPI Number | 1083590632 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083590632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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