NPI 1639710528 · live from the CMS NPI Registry
Ceola Jean Abram
Behavior Analyst in Antioch, CA. National Provider Identifier 1639710528, active.
NPI record
| NPI | 1639710528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3104 Delta Fair Blvd, Antioch, CA 94509 |
| Practice phone | 925-709-6060 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | October 2, 2019 |
| Last updated | October 2, 2019 |
| Sole proprietor | No |
| Other names | Ceola Richardson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.