Provider First Line Business Practice Location Address:
THE BEHAVIOR LAB 11799 SEBASTIAN WAY, UNIT 103 RANCHO C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RANCHO CUCAMONGA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
11799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
442-400-0458
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2026