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Organization
INSTITUTE FOR BEHAVIORAL HEALTH
Active
Organization
INSTITUTE FOR BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONI JEAN KIRK (CASE SUPERIVISOR)
(760) 590-5764
Entity
Organization
Contact information
Practice address
12223 CUSTER ST, YUCAIPA, CA 92399-4450
(760) 590-5764
Mailing address
12223 CUSTER ST, YUCAIPA, CA 92399-4450
(760) 590-5764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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