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GO BEHAVIORAL LLC NPI 1194493049


NPI Information

NPI: 1194493049
Provider Name: GO BEHAVIORAL LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
5460 W MISSION AVE STE 100
FRESNO, CA
ZIP 93722
Phone: (321) 830-0870
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GO BEHAVIORAL LLC is a developmental disabilities clinic center in Fresno, CA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GO BEHAVIORAL LLC NPI is 1194493049. The provider is registered as an organization entity type.

The provider's business location address is:

5460 W MISSION AVE STE 100
FRESNO, CA
ZIP 93722-098
Phone: (321) 830-0870

The provider's authorized official is Deena Moustafa .
The authorized official title is Ceo and has the following contact phone number (321) 830-0870.

The enumeration date for this NPI number is 9/3/2021 and was last updated on 2/22/2022.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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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