Organization
BEACON BEHAVIOR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA DOLLENTE BCBA (CHIEF OPERATING OFFICER)
(909) 684-2987
Entity
Organization
Contact information
Practice address
17161 GRAY PINE PL, SAN BERNARDINO, CA 92407-1504
(909) 684-2987
Mailing address
17161 GRAY PINE PL, SAN BERNARDINO, CA 92407-1504
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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