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Organization

ACTIVE STEPS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL REID (DIRECTOR)
(714) 202-0118
Entity
Organization

Contact information

Practice address
12235 BEACH BLVD STE 100, STANTON, CA 90680-3943
(714) 202-0118
Mailing address
12235 BEACH BLVD STE 100, STANTON, CA 90680-3943

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/30/2019
Last updated
08/06/2020
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  • EDI platform