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Behavior Support For Autism INC

Behavior Analyst in San Diego, CA. Organization (NPI-2).

NPI number1184199366
StatusActive
Last updated in NPPESOct 5, 2018

Details

NPI
1184199366
Entity type
Organization (NPI-2)
Legal business name
Behavior Support For Autism INC
Organization subpart
No
Enumeration date
Oct 4, 2018
Last updated
Oct 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1761 Hotel Cir S Ste 111
San Diego, CA 92108-3318

Phone 760-215-1027

Mailing address

1761 Hotel Cir S Ste 111
San Diego, CA 92108-3318

Authorized official

Jenessa Taengkaew
Aba Supervisor/Director
7602151027

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