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Organization
STRIVE BEHAVIORAL INTERVENTION INC.
Active
Organization
STRIVE BEHAVIORAL INTERVENTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DEVINE WEDBERG M.ED, BCBA (CLINICAL DIRECTOR)
(717) 781-3924
Entity
Organization
Contact information
Practice address
192 E LINE ST STE A, BISHOP, CA 93514-3532
(760) 582-2005
Mailing address
192 E LINE ST STE A, BISHOP, CA 93514-3532
(760) 582-2005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415917
—
Other
Enumeration date
11/05/2016
Last updated
02/06/2017
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