| Illuminate Behavior Services, Llc | |
|
1025 Alameda De Las Pulgas #340 Belmont CA 94002-3507 | |
| (408) 221-9350 | |
| Not Available |
| Full Name | Illuminate Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1025 Alameda De Las Pulgas, Belmont, California |
| Authorized Official Name and Position | Van Kober (MEMBER) |
| Authorized Official Contact | 4082219350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Behavior Services, Llc 1025 Alameda De Las Pulgas #340 Belmont CA 94002-3507 Ph: () - | Illuminate Behavior Services, Llc 1025 Alameda De Las Pulgas #340 Belmont CA 94002-3507 Ph: (408) 221-9350 |
| NPI Number | 1023419421 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023419421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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