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NPI Code Detail

MEDICARE: BEHAVIOR CHANGE INTERVENTIONS

MEDICARE: BEHAVIOR CHANGE INTERVENTIONS
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1831572445
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR CHANGE INTERVENTIONS
Provider Business Mailing Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 714-717-5158
Fax Number :
Provider Business Practice Location Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 714-717-5158
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANDREW SCOTT PATTERSON
Credential :
Telephone Number : 714-717-5158
Provider Enumeration Date : 06/30/2015
Last Update Date : 06/30/2015

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Directions to “BEHAVIOR CHANGE INTERVENTIONS ” Practice Location

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