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Organization
PRAISE BEHAVIOR SERVICE INC.
Active
Organization
PRAISE BEHAVIOR SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA MARION O'GORMAN-TRIMBATH MA BCBA (EXECUTIVE DIRECTOR)
(269) 352-3660
Entity
Organization
Contact information
Practice address
370 HOLLISTER AVE, PISMO BEACH, CA 93449-2512
(269) 352-3660
Mailing address
370 HOLLISTER AVE, PISMO BEACH, CA 93449-2512
(269) 352-3660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5707
CA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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