| Genesis Behavior Center Inc. | |
|
81 W March Ln Stockton CA 95207-5723 | |
| (209) 342-7353 | |
| Not Available |
| Full Name | Genesis Behavior Center Inc. |
|---|---|
| Speciality | Behavior Technician |
| Location | 81 W March Ln, Stockton, California |
| Authorized Official Name and Position | Ana Diaz (BEHAVIOR THERAPIST) |
| Authorized Official Contact | 2092768811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavior Center Inc. 81 W March Ln Stockton CA 95207-5723 Ph: () - | Genesis Behavior Center Inc. 81 W March Ln Stockton CA 95207-5723 Ph: (209) 342-7353 |
| NPI Number | 1083289383 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083289383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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