Organization
IMPACT CENTERS FOR EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY GONZALEZ (BCBA)
(909) 638-1537
Entity
Organization
Contact information
Practice address
382 N LEMON AVE STE 477, WALNUT, CA 91789-2344
(909) 638-1537
Mailing address
382 N LEMON AVE STE 477, WALNUT, CA 91789-2344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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