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Organization

EXPERT ABA CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE TANIFORM (PHD BCBA)
(909) 571-6806
Entity
Organization

Contact information

Practice address
3975 MODESTO DR, SAN BERNARDINO, CA 92404-1946
(909) 277-3124
Mailing address
3975 MODESTO DR, SAN BERNARDINO, CA 92404-1946
(909) 277-3124

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/07/2018
Last updated
12/07/2018
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