| 1st Step Applied Behavior Analysts, Inc | |
|
3107 Alhambra Dr Suite C Cameron Park CA 95682-7688 | |
| (916) 712-7395 | |
| (530) 677-5443 |
| Full Name | 1st Step Applied Behavior Analysts, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3107 Alhambra Dr, Cameron Park, California |
| Authorized Official Name and Position | Kathryn D Vandenberg (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5307489395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Step Applied Behavior Analysts, Inc Po Box 2000 Shingle Springs CA 95682-2000 Ph: (916) 712-7395 | 1st Step Applied Behavior Analysts, Inc 3107 Alhambra Dr Suite C Cameron Park CA 95682-7688 Ph: (916) 712-7395 |
| NPI Number | 1689912032 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689912032 | NPI | - | NPPES |
| 1104128362 | Other | CA | BEHAVIOR HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1073547 (California) | Primary |
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