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NPI Code Detail

MEDICARE: GOOD HABIT CHILDRENS FOUNDATION INC

MEDICARE: GOOD HABIT CHILDRENS FOUNDATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3252Y00000XEarly Intervention Provider Agency
4261QD1600XDevelopmental Disabilities Clinic/Center
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013712561
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD HABIT CHILDRENS FOUNDATION INC
Provider Business Mailing Address
First Line : 2628 FULLERTON RD
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-4701
Country : US
Telephone Number : 626-567-5678
Fax Number :
Provider Business Practice Location Address
First Line : 2628 FULLERTON RD
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-4701
Country : US
Telephone Number : 626-567-5678
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WEI ZHAO
Credential :
Telephone Number : 626-567-5678
Provider Enumeration Date : 02/18/2025
Last Update Date : 05/07/2025

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Directions to “GOOD HABIT CHILDRENS FOUNDATION INC ” Practice Location

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