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Organization
TAHOE BASIN BEHAVIOR ANALYSIS, LLC
Active
Organization
TAHOE BASIN BEHAVIOR ANALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN LABRIE M.A., BCBA (OWNER)
(530) 318-0824
Entity
Organization
Contact information
Practice address
1105 MARGARET AVE, SOUTH LAKE TAHOE, CA 96150-6242
(530) 318-0824
Mailing address
PO BOX 13976, SOUTH LAKE TAHOE, CA 96151-3976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
01/31/2018
Last updated
03/07/2021
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