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EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION NPI 1548771132


NPI Information

NPI: 1548771132
Provider Name: EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION

Doing Business As: DR MARK A. SCHNOSE PHD

Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
16465 SIERRA LAKES PKWY
FONTANA, CA
ZIP 92336
Phone: (909) 725-4742
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EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION is a cognitive and behavioral psychologist in Fontana, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. EMPIRE BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION NPI is 1548771132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr Mark A. Schnose Phd.

The provider's business location address is:

16465 SIERRA LAKES PKWY
FONTANA, CA
ZIP 92336-242
Phone: (909) 725-4742
Fax: (909) 725-4742

The provider's authorized official is Mark Alan Schnose .
The authorized official title is Phd and has the following contact phone number (909) 725-4742.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 8/14/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral21991CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121991OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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