| Bay Area Behavioral Group | |
|
4423 Fortran Court, #136 San Jose CA 95134 | |
| (408) 586-8654 | |
| Not Available |
| Full Name | Bay Area Behavioral Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4423 Fortran Court, #136, San Jose, California |
| Authorized Official Name and Position | Kelly Lam (OWNER) |
| Authorized Official Contact | 4085868654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Behavioral Group 4423 Fortran Court, #136 San Jose CA 95134 Ph: (408) 586-8654 | Bay Area Behavioral Group 4423 Fortran Court, #136 San Jose CA 95134 Ph: (408) 586-8654 |
| NPI Number | 1407221948 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407221948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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