| Pacifica Clinics | |
|
1302 N 4th St San Jose CA 95112-4713 | |
| (626) 254-5000 | |
| Not Available |
| Full Name | Pacifica Clinics |
|---|---|
| Speciality | Behavior Technician |
| Location | 1302 N 4th St, San Jose, California |
| Authorized Official Name and Position | Sarah Whiteside (ABA BEHAVIOR TECHNICIAN) |
| Authorized Official Contact | 6693029560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Clinics 1302 N 4th St San Jose CA 95112-4713 Ph: () - | Pacifica Clinics 1302 N 4th St San Jose CA 95112-4713 Ph: (626) 254-5000 |
| NPI Number | 1689418915 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689418915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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