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Organization

BRAIN, SCIENCE AND TECHNOLOGY INTEGRATIVE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEBASTIEN ROBERT EDOUARD MONTEL PHD (OWNER AND CEO)
(949) 220-6642
Entity
Organization

Contact information

Practice address
74710 CA-111, SUITE 102, PALM DESERT, CA 92260
(949) 220-6642
(855) 916-1830
Mailing address
74710 CA-111, SUITE 102, PALM DESERT, CA 92260
(949) 220-6642
(855) 916-1830

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TH0004X
Health Psychologist

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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