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Organization
BEHAVIOR GENIUS LLC
Active
Organization
BEHAVIOR GENIUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA JAMES (EXECUTIVE DIRECTOR/OWNER)
(909) 749-5204
Entity
Organization
Contact information
Practice address
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761-2973
(909) 749-5204
Mailing address
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761-2973
(909) 749-5204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2019
Last updated
04/06/2023
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