Avita Nova

LBN: Avita Nova
Avita Nova is an health care organization with primary practice located at 1202 Bellecour Way , Lake Forest CA 92630-7944. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Agencies / Community/Behavioral Health is the primary health care specialty. Avita Nova can be contacted via phone (949) 939-8032, or through Holding, Erica R. via phone (949) 939-8032.

Contact Information

Primary practice address
1202 Bellecour Way Lake Forest CA 92630-7944
Phone: (949) 939-8032
Fax: (949) 525-4759
Website:
Map and Directions
Authorized official contact:
Name: Holding, Erica R. PH.D., BCBA
Phone: (949) 939-8032

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1780937235
LBN Legal business name Avita Nova
DBA Doing business as
Authorized official Holding, Erica R. PH.D., BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated Oct 22nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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