Xtraordinary Spot
Behavior Analyst in Perris, CA. Organization (NPI-2).
NPI number1215645833
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1215645833
- Entity type
- Organization (NPI-2)
- Legal business name
- Xtraordinary Spot
- Organization subpart
- No
- Enumeration date
- Nov 14, 2022
- Certification date
- Nov 11, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
4372 Almaterra DrPerris, CA 92571-5112
Phone 562-235-7456
Mailing address
124 Pine CtPerris, CA 92571-2673
Phone 909-997-8496
Other practice locations
124 Pine Ct
Perris, CA 92571-2673
Perris, CA 92571-2673
Phone 909-997-8496
Authorized official
Sarde Stewart
Clinical Director
9099978496
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All 24 Behavior Analyst providers in Perris · All 1,122 providers in Perris
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