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21 Brennan St Ste 18 Watsonville CA 95076-4337 | |
| (831) 291-3570 | |
| (844) 831-5548 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21 Brennan St Ste 18, Watsonville, California |
| Authorized Official Name and Position | David A Palmer (PRESIDENT/BEHAVIOR ANALYST) |
| Authorized Official Contact | 8312913570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1052 E Lake Ave # 109 Watsonville CA 95076-3406 Ph: (831) 291-3570 | 21 Brennan St Ste 18 Watsonville CA 95076-4337 Ph: (831) 291-3570 |
| NPI Number | 1316403728 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316403728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |