Organization
FUNCTIONAL BEHAVIORAL INTERVENTIONS
Active
Other names
Functional Behavioral Interventions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA RENEE PEREZ M.A., M.A., B.C.B.A. (CCO, VICE PRESIDENT)
(562) 236-7908
Entity
Organization
Contact information
Practice address
100 GRACE AVE, LA HABRA, CA 90631-6846
(562) 236-7908
Mailing address
100 GRACE AVE, LA HABRA, CA 90631-6846
(562) 236-7908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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