| Rooted Growth Behavioral Health, Inc. | |
|
16328 Blanco St San Leandro CA 94578-3126 | |
| (510) 324-6332 | |
| Not Available |
| Full Name | Rooted Growth Behavioral Health, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16328 Blanco St, San Leandro, California |
| Authorized Official Name and Position | Leticia Rosas Vera (CEO) |
| Authorized Official Contact | 5103246332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Growth Behavioral Health, Inc. 16328 Blanco St San Leandro CA 94578-3126 Ph: (510) 324-6332 | Rooted Growth Behavioral Health, Inc. 16328 Blanco St San Leandro CA 94578-3126 Ph: (510) 324-6332 |
| NPI Number | 1053167544 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053167544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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