NPI 1578891925 · live from the CMS NPI Registry
A Is For Apple
Psychologist in San Jose, CA. National Provider Identifier 1578891925, active.
NPI record
| NPI | 1578891925 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1420 Koll Circle, San Jose, CA 95112 |
| Practice phone | 818-241-6780 |
| Mailing address | 1333 S. Mayflower Ave, Suite 220, Monrovia, CA 91016 |
| Enumerated | November 23, 2009 |
| Last updated | February 14, 2024 |
| Authorized official | Gina Chang, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — (CA) |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.