Organization
AUTHENTIC BEHAVIOR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA KEISHA I MILES (OWNER)
(909) 330-8026
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(909) 780-1655
Mailing address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(909) 780-1655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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