Organization
JADE BEHAVIORAL CONSULTANTS
Active
Organization
JADE BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON A. TILMON M.A., BCBA (CEO)
(818) 577-8743
Entity
Organization
Contact information
Practice address
2115 W CRESCENT AVE STE 244, ANAHEIM, CA 92801-3836
(818) 577-8743
Mailing address
2115 W CRESCENT AVE STE 244, ANAHEIM, CA 92801-3836
(818) 577-8743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-14-10254
CA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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