Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEHAVIORANALYSTSUPERVISOR
Active OrganizationBEHAVIORANALYSTSUPERVISOR is a Behavior Analyst organization located in MOUNT SHASTA, California. NPI 1790157154 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MOUNT SHASTA, CA
Registration Details
- NPI Number
- 1790157154
- Provider Type
- Organization
- NPI Issued
- Oct 26, 2015 (10.831382307612 yrs)
- Last Updated
- Oct 26, 2015
- Licenses
-
LEP3635 (CA)1-13-12972 (CA)
Practice Information
- Address
-
809 MCCLOUD AVEMOUNT SHASTA, CA, 960679603Browse CA providers · Browse ZIP 96067
- Phone
- 5302272883
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.