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NPI 1316500721 · live from the CMS NPI Registry

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Behavior Analyst in Silverado, CA. National Provider Identifier 1316500721, active.

NPI record

NPI1316500721 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location28422 Modjeska Canyon Rd, Silverado, CA 92676
Practice phone415-328-2534
EnumeratedApril 22, 2019
Last updatedApril 22, 2019
Authorized officialChanelle Olivo Read, Directior
Other namesChanelle Olivo Read

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.