| Illuminating Minds Llc | |
|
546 Julmar Cir Fairfield CA 94534-4213 | |
| (510) 333-5964 | |
| Not Available |
| Full Name | Illuminating Minds Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 546 Julmar Cir, Fairfield, California |
| Authorized Official Name and Position | Israel Rodriguez (CEO) |
| Authorized Official Contact | 5103335964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Minds Llc 546 Julmar Cir Fairfield CA 94534-4213 Ph: (510) 333-5964 | Illuminating Minds Llc 546 Julmar Cir Fairfield CA 94534-4213 Ph: (510) 333-5964 |
| NPI Number | 1336849447 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336849447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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