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Organization

BEHAVIOR SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. H. MICHAEL CARPENTER PH.D. BCBA-D (CO-FOUNDER/DIRECTOR)
(714) 856-2696
Entity
Organization

Contact information

Practice address
1405 MANCHESTER WAY, TUSTIN, CA 92782-1785
(714) 856-2696
Mailing address
1405 MANCHESTER WAY, TUSTIN, CA 92782-1785
(714) 856-2696

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2160 BCBA
CA

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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