1 Spectrum Therapy
Behavior Analyst in Laguna Hills, CA. Organization (NPI-2).
NPI number1023747482
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1023747482
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Spectrum Therapy
- Organization subpart
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
23046 Avenida De La Carlota Ste 600Laguna Hills, CA 92653-1537
Phone 714-805-9070
Mailing address
22365 El Toro Rd Ste 151Lake Forest, CA 92630-5053
Other practice locations
22365 El Toro Rd Ste 151
Lake Forest, CA 92630-5053
Lake Forest, CA 92630-5053
Phone 714-805-9070
Authorized official
Jessica Chen Berghauser
Ceo
5622017119
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