California State University Fresno Foundation | |
4910 N Chestnut Ave Fresno CA 93726-1852 | |
(559) 278-6773 | |
(559) 278-0015 |
Full Name | California State University Fresno Foundation |
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Speciality | Behavior Analyst |
Location | 4910 N Chestnut Ave, Fresno, California |
Authorized Official Name and Position | Marianne Jackson (CLINICAL DIRECTOR) |
Authorized Official Contact | 5592786773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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California State University Fresno Foundation 4910 N Chestnut Ave Fresno CA 93726-1852 Ph: (559) 278-6773 | California State University Fresno Foundation 4910 N Chestnut Ave Fresno CA 93726-1852 Ph: (559) 278-6773 |
NPI Number | 1821362211 |
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Provider Enumeration Date | 03/02/2012 |
Last Update Date | 01/30/2014 |
Identifier | Type | State | Issuer |
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1821362211 | NPI | - | NPPES |
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