Organization · Type 2 NPI
Providence Behavioral Counseling
Developmental Therapist · Corona, CA
Practice location
414 West Grand Street Suit 372
Corona, CA 92878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1275410128
Providence Behavioral Counseling's National Provider Identifier is 1275410128, issued on Aug 20, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Corona, CA. The record was last updated on Aug 29, 2025.