| Behavior Hub Llc | |
|
16092 Wellington Way San Leandro CA 95336 | |
| (831) 204-0363 | |
| Not Available |
| Full Name | Behavior Hub Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16092 Wellington Way, San Leandro, California |
| Authorized Official Name and Position | Clarissa H Jackson (OWNER/CEO) |
| Authorized Official Contact | 8312040363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Hub Llc 8605 Santa Monica Blvd # 169250 West Hollywood CA 90069-4109 Ph: (831) 204-0363 | Behavior Hub Llc 16092 Wellington Way San Leandro CA 95336 Ph: (831) 204-0363 |
| NPI Number | 1871308932 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871308932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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