| Shoreline Behavior Supports | |
|
2108 N St Ste N Sacramento CA 95816-5712 | |
| (805) 407-0205 | |
| Not Available |
| Full Name | Shoreline Behavior Supports |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2108 N St Ste N, Sacramento, California |
| Authorized Official Name and Position | Ryan Jacob Barroso (OWNER) |
| Authorized Official Contact | 8054070205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Behavior Supports 9452 Telephone Rd # 187 Ventura CA 93004-2600 Ph: () - | Shoreline Behavior Supports 2108 N St Ste N Sacramento CA 95816-5712 Ph: (805) 407-0205 |
| NPI Number | 1518614064 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518614064 | NPI | - | NPPES |
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