Organization
PERSONA NEURO BEHAVIOR GROUP INC.
Active
Organization
PERSONA NEURO BEHAVIOR GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCEL O. PONTON PH.D. (PRESIDENT)
(626) 449-2484
Entity
Organization
Contact information
Practice address
625 FAIR OAKS AVENUE, SUITE 390, SOUTH PASADENA, CA 91030
(626) 449-2484
(626) 449-1107
Mailing address
625 FAIR OAKS AVE, SUITE 390, SOUTH PASADENA, CA 91030-2630
(626) 449-2484
(626) 449-1107
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY12133
CA
Other
Enumeration date
09/08/2006
Last updated
07/21/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up