Open Spectrum Behavior Therapy | |
2625 Alcatraz Ave Ste 609 Berkeley CA 94705 | |
(650) 208-8320 | |
Not Available |
Full Name | Open Spectrum Behavior Therapy |
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Speciality | Behavior Analyst |
Location | 2625 Alcatraz Ave Ste 609, Berkeley, California |
Authorized Official Name and Position | Benjamin Tucker (OWNER) |
Authorized Official Contact | 6502088320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Open Spectrum Behavior Therapy 2625 Alcatraz Ave Ste 609 Berkeley CA 94705-2702 Ph: () - | Open Spectrum Behavior Therapy 2625 Alcatraz Ave Ste 609 Berkeley CA 94705 Ph: (650) 208-8320 |
NPI Number | 1265945844 |
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Provider Enumeration Date | 11/06/2017 |
Last Update Date | 07/19/2018 |
Identifier | Type | State | Issuer |
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1265945844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCC5297 (California) | Secondary |
103K00000X | Behavior Analyst | 1-11-9431 (* (Not Available)) | Primary |
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