Organization
CENTER FOR BEHAVIORAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALILAH P CONDON BCBA (OWNER)
(909) 702-8092
Entity
Organization
Contact information
Practice address
13163 STANTON DR, RANCHO CUCAMONGA, CA 91739-9273
(909) 702-8092
Mailing address
13163 STANTON DR, RANCHO CUCAMONGA, CA 91739-9273
(909) 702-8092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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