| Behavioral Direction | |
|
131 Esmeyer Dr San Rafael CA 94903-3770 | |
| (415) 971-1186 | |
| (415) 366-1685 |
| Full Name | Behavioral Direction |
|---|---|
| Speciality | Behavior Analyst |
| Location | 131 Esmeyer Dr, San Rafael, California |
| Authorized Official Name and Position | Alex Campbell (PRESIDENT) |
| Authorized Official Contact | 4159711186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Direction 131 Esmeyer Dr San Rafael CA 94903-3770 Ph: (415) 971-1186 | Behavioral Direction 131 Esmeyer Dr San Rafael CA 94903-3770 Ph: (415) 971-1186 |
| NPI Number | 1760736458 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760736458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4718 (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC30244 (California) | Secondary |
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