Maverick Education & Behavioral Solutions, LLC
Behavior Analyst in Fair Oaks, CA. Organization (NPI-2).
NPI number1528332012
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1528332012
- Entity type
- Organization (NPI-2)
- Legal business name
- Maverick Education & Behavioral Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1000030 | CA | Yes |
| 252Y00000X | Early Intervention Provider Agency | 1000030 | CA |
Practice location
7949 California Ave Ste 14Fair Oaks, CA 95628-7156
Phone 916-863-7949
Mailing address
7949 California Ave Ste 14Fair Oaks, CA 95628-7156
Phone 916-863-7949
Authorized official
Dawn Montgomery
Ceo/Owner
9169837949
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