Healthcare Provider Details

I. General information

NPI: 1457150088
Provider Name (Legal Business Name): GOOD HABITS CHILDREN'S SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9007 ARROW RTE STE 141
RANCHO CUCAMONGA CA
91730-4400
US

IV. Provider business mailing address

222 N MOUNTAIN AVE STE 213A
UPLAND CA
91786-5714
US

V. Phone/Fax

Practice location:
  • Phone: 626-413-4441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. RONGRONG XIANG
Title or Position: ADMINISTRATOR
Credential:
Phone: 626-899-3729