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Organization
VIVA SUPERHEROES BEHAVIOR SERVICES
Active
Organization
VIVA SUPERHEROES BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA FAINA PAVIA BCBA (BCBA)
(661) 317-5093
Entity
Organization
Contact information
Practice address
38651 GLENBUSH AVE, PALMDALE, CA 93550-4213
(661) 317-5093
Mailing address
38651 GLENBUSH AVE, PALMDALE, CA 93550-4213
(661) 317-5093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518393115
—
CA
Enumeration date
02/12/2020
Last updated
02/12/2020
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