| NPI | 1104130970 |
|---|---|
| Doing Business As | LEAD BEHAVORIAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA JOHNSON Pyschologist 559-221-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23518) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23518) |
| 103K00000X Behavior Analyst (Licence: CA 1041645) | |
| 103T00000X Psychologist (Licence: CA PSY23518) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY23518) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23518) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23518) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY23518) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23518) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY23518) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY23518) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY23518) | |
| 103TS0200X Psychologist, School (Licence: CA PSY23518) | |
| 1041S0200X Social Worker, School | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A76215) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-12-06 |