| Ignite Innovative Behavioral Solutions | |
|
811 York St Apt 121 Oakland CA 94610-2107 | |
| (510) 696-6513 | |
| Not Available |
| Full Name | Ignite Innovative Behavioral Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 811 York St Apt 121, Oakland, California |
| Authorized Official Name and Position | Serena Richardson (CEO) |
| Authorized Official Contact | 5106966513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Innovative Behavioral Solutions 811 York St Apt 121 Oakland CA 94610-2107 Ph: (510) 696-6513 | Ignite Innovative Behavioral Solutions 811 York St Apt 121 Oakland CA 94610-2107 Ph: (510) 696-6513 |
| NPI Number | 1750198636 |
|---|---|
| Provider Enumeration Date | 12/14/2024 |
| Last Update Date | 12/14/2024 |
| Certification Date | 12/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750198636 | NPI | - | NPPES |
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