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Organization

CAPSHEAF BEHAVIORAL INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMESHA CORINE SMITH BCBA (EXECUTIVE DIRECTOR/CEO)
(888) 557-1305
Entity
Organization

Contact information

Practice address
9126 QUINCY AVE, HESPERIA, CA 92345-6438
(888) 557-1305
(888) 557-1305
Mailing address
9126 QUINCY AVE, HESPERIA, CA 92345-6438
(888) 557-1305
(888) 557-1305

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/01/2016
Last updated
01/01/2016
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