Sequoia Behavioral Consultants | |
4719 Quail Lakes Dr Ste G409 Stockton CA 95207-8140 | |
(209) 208-4804 | |
Not Available |
Full Name | Sequoia Behavioral Consultants |
---|---|
Speciality | Behavior Analyst |
Location | 4719 Quail Lakes Dr Ste G409, Stockton, California |
Authorized Official Name and Position | Alex Mccurdy (PRESIDENT) |
Authorized Official Contact | 4358813654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sequoia Behavioral Consultants 3565 W Benjamin Holt Dr Apt 108 Stockton CA 95219-3424 Ph: (435) 881-3654 | Sequoia Behavioral Consultants 4719 Quail Lakes Dr Ste G409 Stockton CA 95207-8140 Ph: (209) 208-4804 |
NPI Number | 1285288340 |
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Provider Enumeration Date | 07/27/2019 |
Last Update Date | 09/12/2024 |
Certification Date | 09/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285288340 | NPI | - | NPPES |
1154798312 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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