Organization
INNOVATIVE BEHAVIOR INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA LEE-CHAE (CO-FOUNDER)
(562) 413-1487
Entity
Organization
Contact information
Practice address
6229 VILLA RYAN CT, BUENA PARK, CA 90620-4723
(562) 413-1487
Mailing address
6229 VILLA RYAN CT, BUENA PARK, CA 90620-4723
(562) 413-1487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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