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05D2012799 CLIA NUMBER - NADIM K DAGHER, MD INC

Laboratory Demographics

CLIA Number: 05D2012799

Facility Name: NADIM K DAGHER, MD INC

Facility Address:
376 W BADILLO ST
COVINA, CA
ZIP 91723
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Facility Phone Number: 626 332-1175

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679032023

Taxonomy: 106S00000X - Behavior Technician
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

CLIA Record

Field Name Field Value
CLIA Number 05D2012799
LAB Type Physician Office
Facility Name NADIM K DAGHER, MD INC
Street 376 W BADILLO ST
City COVINA
State CA
ZIP 91723
Phone 626 332-1175
CertificateType 4
CertificateEffectiveDate 1/23/2024
CertificateExpirationDate 1/22/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024