Organization
KEYSTONE PEDIATRIC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE AUDREY OCEN PHD., BCBA (PSYCHOLOGIST/ BCBA)
(562) 356-8600
Entity
Organization
Contact information
Practice address
610 PACIFIC COAST HWY, SUITE 201, SEAL BEACH, CA 90740-6604
(562) 356-8600
Mailing address
550 TEMPLE AVE, APT 26, LONG BEACH, CA 90814-1255
(562) 356-8600
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
27081
CA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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