| Opening Minds, Inc. | |
|
6166 Dill Ct Stockton CA 95215-1003 | |
| (209) 227-0544 | |
| Not Available |
| Full Name | Opening Minds, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6166 Dill Ct, Stockton, California |
| Authorized Official Name and Position | Maly Boonsalat (BUSINESS SERVICES MANAGER) |
| Authorized Official Contact | 2096169960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opening Minds, Inc. 6166 Dill Ct Stockton CA 95215-1003 Ph: (209) 636-3917 | Opening Minds, Inc. 6166 Dill Ct Stockton CA 95215-1003 Ph: (209) 227-0544 |
| NPI Number | 1982288676 |
|---|---|
| Provider Enumeration Date | 05/08/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982288676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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