Healthcare Provider Details
I. General information
NPI: 1467234476
Provider Name (Legal Business Name): VERBAL DIMENSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
677 PORTER ST
FALLBROOK CA
92028
US
IV. Provider business mailing address
4140 OCEANSIDE BLVD STE 159
OCEANSIDE CA
92056-6005
US
V. Phone/Fax
- Phone: 760-208-7131
- Fax:
- Phone: 760-208-7131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
LYN
WHITE
Title or Position: CEO
Credential: MS, BCBA
Phone: 760-208-7131