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Organization
EDUCATIONAL & BEHAVIORAL SUPPORT SERVICES, LLC
Active
Organization
EDUCATIONAL & BEHAVIORAL SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH E. BELTON BCBA-D (OWNER / BEHAVIOR ANALYSTS)
(760) 953-6500
Entity
Organization
Contact information
Practice address
13125 CLIPPER DRIVE, VICTORVILLE, CA 92395-5185
(760) 953-6500
Mailing address
17100 BEAR VALLEY RD # B-534, VICTORVILLE, CA 92395-8320
(760) 953-6500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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