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Organization
PROOF POSITIVE ABA THERAPIES
Active
Organization
PROOF POSITIVE ABA THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE GUERRA (CREDENTIALING ASSISTANT)
(818) 241-6780
Entity
Organization
Contact information
Practice address
1111 BAKER ST, COSTA MESA, CA 92626-4138
(949) 910-6767
Mailing address
505 N BRAND BLVD STE 1000, GLENDALE, CA 91203-3924
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25523
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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