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Organization

BEHAVIORAL CONCEPTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAZANDRA MALDONADO-RAMIREZ (RBT)
(714) 253-9078
Entity
Organization

Contact information

Practice address
23151 VERDUGO DR STE 113, LAGUNA HILLS, CA 92653-1340
(949) 954-4422
Mailing address
10671 TIBBS CIR APT 8, GARDEN GROVE, CA 92840-1319

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
618982373
CA
Enumeration date
01/31/2019
Last updated
01/31/2019
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