Provider Demographics
NPI:1689569220
Name:GOOD HABITS CHILDREN'S SERVICE INC
Entity type:Organization
Organization Name:GOOD HABITS CHILDREN'S SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONGRONG
Authorized Official - Middle Name:
Authorized Official - Last Name:XIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-413-4441
Mailing Address - Street 1:222 N MOUNTAIN AVE STE 213A
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5714
Mailing Address - Country:US
Mailing Address - Phone:626-414-4441
Mailing Address - Fax:
Practice Address - Street 1:9007 ARROW RTE STE 141
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4400
Practice Address - Country:US
Practice Address - Phone:626-413-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD HABITS CHILDREN'S SERVICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty