Behavioral Support Partnership

NPI #1033593397 in Garden Grove, California

Provider Information

NPI Number: 1033593397
Entity Type: Organization
Organization Name: Behavioral Support Partnership
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 16, 2015
Last Updated: Jul 16, 2015

Practice Location

Address: 12443 LEWIS ST
Address 2: SUITE 201
City: Garden Grove
State: California
ZIP Code: 92840-4650
Phone: (714) 748-4440

Authorized Official

Name: MISS CRYSTAL MICHELLE GUTIERREZ, M.A., BCBA
Title: CASE SUPERVISOR
Phone: (818) 304-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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