Organization
FOOTPRINTS BEHAVIORAL INTERVENTIONS, INC.
Active
Other names
Footprints Behavioral Interventions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HUONG DIEM NGUYEN MA (DIRECTOR OF OPERATIONS)
(714) 855-8895
Entity
Organization
Contact information
Practice address
1901 CARNEGIE AVE, SUITE 1-C, SANTA ANA, CA 92705-5504
(714) 848-8319
(714) 596-6274
Mailing address
1901 CARNEGIE AVE STE 1C, SANTA ANA, CA 92705-5504
(714) 855-8895
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
1052376
CA
251S00000X
Community/Behavioral Health Agency
1052376
CA
252Y00000X
Early Intervention Provider Agency
Primary
1052376
CA
Other
Enumeration date
06/06/2011
Last updated
07/28/2020
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