Advance Kids | |
9755 Lincoln Village Dr Sacramento CA 95827-3334 | |
(916) 363-6103 | |
(916) 244-0594 |
Full Name | Advance Kids |
---|---|
Speciality | Behavior Analyst |
Location | 9755 Lincoln Village Dr, Sacramento, California |
Authorized Official Name and Position | Michelle Wenell (CEO PRESIDENT) |
Authorized Official Contact | 9163636103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advance Kids 9755 Lincoln Village Dr Sacramento CA 95827-3334 Ph: (916) 363-6103 | Advance Kids 9755 Lincoln Village Dr Sacramento CA 95827-3334 Ph: (916) 363-6103 |
NPI Number | 1366674210 |
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Provider Enumeration Date | 08/11/2009 |
Last Update Date | 04/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366674210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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