Organization
CALIFORNIA INSTITUTE OF BEHAVIOR ANALYSIS
Active
Organization
CALIFORNIA INSTITUTE OF BEHAVIOR ANALYSIS
Active
Other names
LeafWing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R LUBBERS PHD (EXECUTIVE DIRECTOR)
(818) 442-0921
Entity
Organization
Contact information
Practice address
2127 W. ORANGEWOOD AVE., #B, ORANGE, CA 92868
(714) 634-8500
(800) 832-2321
Mailing address
2127 W ORANGEWOOD AVE, #B, ORANGE, CA 92868-1954
(714) 634-8500
(800) 832-2321
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC50185
CA
252Y00000X
Early Intervention Provider Agency
Primary
BCBA1-01-0404
CA
Other
Enumeration date
01/07/2009
Last updated
09/08/2011
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