| Cvap | |
|
5501 Antique Rose Way Riverbank CA 95367-9505 | |
| (209) 521-4791 | |
| (209) 521-4794 |
| Full Name | Cvap |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5501 Antique Rose Way, Riverbank, California |
| Authorized Official Name and Position | Tori Bejar (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6234442169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvap Po Box 399318 San Francisco CA 94139-9318 Ph: (623) 444-2169 | Cvap 5501 Antique Rose Way Riverbank CA 95367-9505 Ph: (209) 521-4791 |
| NPI Number | 1700183803 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700183803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-00-0243 (California) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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