| Brain Based Behavior Center, Inc. | |
|
4588 Peralta Blvd Ste 7 Fremont CA 94536-5757 | |
| (510) 972-1030 | |
| (510) 793-6399 |
| Full Name | Brain Based Behavior Center, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4588 Peralta Blvd Ste 7, Fremont, California |
| Authorized Official Name and Position | Michael Slone (ABA THERAPIST) |
| Authorized Official Contact | 5109721030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Based Behavior Center, Inc. 4588 Peralta Blvd Ste 7 Fremont CA 94536-5757 Ph: (510) 972-1030 | Brain Based Behavior Center, Inc. 4588 Peralta Blvd Ste 7 Fremont CA 94536-5757 Ph: (510) 972-1030 |
| NPI Number | 1942623749 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942623749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11212648 (California) | Primary |
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