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NPI Code Detail

MEDICARE: NOVO BEHAVIORAL SERVICES

MEDICARE: NOVO BEHAVIORAL SERVICES
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
2252Y00000XEarly Intervention Provider Agency
3235Z00000XSpeech-Language Pathologist
41041C0700XClinical Social Worker
5103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-22-58215OTHERCABACB

General Provider Information

NPI Number : 1972995959
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVO BEHAVIORAL SERVICES
Provider Business Mailing Address
First Line : 1720 W BALL RD STE 4A
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5589
Country : US
Telephone Number : 714-257-5534
Fax Number : 714-386-7019
Provider Business Practice Location Address
First Line : 1720 W BALL RD STE 4A
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5589
Country : US
Telephone Number : 714-257-5534
Fax Number : 714-386-7019
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : JAVIER MURILLO JR.
Credential : M.S., BCBA
Telephone Number : 805-815-9048
Provider Enumeration Date : 02/27/2015
Last Update Date : 03/19/2026

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Practice Location Address:
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ANAHEIM, CA
92804-5589
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1205798337 — FARAH NAAMA
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ANAHEIM, CA
92804-5589
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1689532889 — CHRISTOPHER LOUDERMILL
Practice Location Address:
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ANAHEIM, CA
92804-5589
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Directions to “NOVO BEHAVIORAL SERVICES ” Practice Location

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