Organization
GUNN BEHAVIORAL CARE OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA HUMPHREY (CEO)
(203) 718-5926
Entity
Organization
Contact information
Practice address
8300 UTICA AVE STE 245, RANCHO CUCAMONGA, CA 91730-3852
(909) 989-4055
(909) 989-8005
Mailing address
8300 UTICA AVE STE 245, RANCHO CUCAMONGA, CA 91730-3852
(909) 989-4055
(909) 989-8005
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY23190
CA
103T00000X
Psychologist
Primary
PSY23190
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23190
CA
103TC0700X
Clinical Psychologist
PSY23190
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY23190
CA
103TF0000X
Family Psychologist
PSY23190
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY23190
CA
Other
Enumeration date
06/14/2012
Last updated
04/18/2025
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