Organization
EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION
Active
Organization
EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION
Active
Other names
Dr Mark A. Schnose PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN SCHNOSE PHD (PHD)
(909) 725-4742
Entity
Organization
Contact information
Practice address
16465 SIERRA LAKES PKWY, FONTANA, CA 92336-1242
(909) 725-4742
(909) 725-4742
Mailing address
PO BOX 2295, RANCHO CUCAMONGA, CA 91729-2295
(909) 725-4742
(909) 752-9275
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
21991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21991
LICENSE
CA
Enumeration date
10/23/2017
Last updated
08/14/2018
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