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6200 Stoneridge Mall Rd Ste 300 Pleasanton CA 94588-3705 | |
| (888) 773-4359 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6200 Stoneridge Mall Rd Ste 300, Pleasanton, California |
| Authorized Official Name and Position | Ke'aarre Cain (FOUNDER AND OWNER) |
| Authorized Official Contact | 8887734359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6200 Stoneridge Mall Rd Ste 300 #1002 Pleasanton CA 94588-3705 Ph: (888) 773-4359 | 6200 Stoneridge Mall Rd Ste 300 Pleasanton CA 94588-3705 Ph: (888) 773-4359 |
| NPI Number | 1013630359 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013630359 | NPI | - | NPPES |
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