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NPI Code Detail

MEDICARE: BEHAVIORAL CONCEPTS LLC

MEDICARE: BEHAVIORAL CONCEPTS LLC
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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility1-13-12788CA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1669891644
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL CONCEPTS LLC
Provider Business Mailing Address
First Line : BEHAVIORAL CONCEPTS LLC
Second Line : 23041 AVENDIA DE LA CARLOTA
City : LAGUNA HILLS
State : CA
Zip : 92653-1511
Country : US
Telephone Number : 949-954-4422
Fax Number : 714-242-1611
Provider Business Practice Location Address
First Line : 23041 AVENDIA DE LA CARLOTA
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1511
Country : US
Telephone Number : 949-954-4422
Fax Number : 714-242-1611
Authorized Official
Title or Position : CLINICAL EXECUTIVE DIRECTOR
Name : MS. CLAUDIA C RIQUELME
Credential : BCBA
Telephone Number : 949-235-3719
Provider Enumeration Date : 04/07/2014
Last Update Date : 09/27/2022

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Directions to “BEHAVIORAL CONCEPTS LLC ” Practice Location

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