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Organization

BCBA CONSULTING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET A. MARILLA M.A., BCBA (PRESIDENT)
(951) 897-0137
Entity
Organization

Contact information

Practice address
22530 CANYON LAKE DR N, CANYON LAKE, CA 92587-8001
(951) 897-0137
Mailing address
22530 CANYON LAKE DR N, CANYON LAKE, CA 92587-8001
(951) 897-0137

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5791
CO
252Y00000X
Early Intervention Provider Agency
1-09-5791
CO

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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