| Amaze Behavior Consultants, Llc | |
|
1515 Aurora Drive Suite 103d Pmb 1021 San Leandro CA 94577 | |
| (510) 294-9525 | |
| Not Available |
| Full Name | Amaze Behavior Consultants, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 Aurora Drive, San Leandro, California |
| Authorized Official Name and Position | Samantha Orozco (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5102949525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amaze Behavior Consultants, Llc 564 Cape Breton Ln Tracy CA 95377-6641 Ph: (510) 294-9525 | Amaze Behavior Consultants, Llc 1515 Aurora Drive Suite 103d Pmb 1021 San Leandro CA 94577 Ph: (510) 294-9525 |
| NPI Number | 1285494427 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285494427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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