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Organization
BEHAVIOR DIAGNOSTICS, P.C.
Active
Organization
BEHAVIOR DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CHANG (CEO)
(818) 241-6780
Entity
Organization
Contact information
Practice address
9850 WESTPOINT DR STE 650, INDIANAPOLIS, IN 46256-3380
(818) 241-6678
(818) 241-6853
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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