| Square One | |
|
3195 Zinfandel Dr Bldg G Ste 21 Rancho Cordova CA 95670-6376 | |
| (916) 690-6985 | |
| (916) 731-5576 |
| Full Name | Square One |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3195 Zinfandel Dr, Rancho Cordova, California |
| Authorized Official Name and Position | Laurie Mckinnie (OWNER) |
| Authorized Official Contact | 9166906985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square One 3195 Zinfandel Dr Bldg G Ste 21 Rancho Cordova CA 95670-6376 Ph: (916) 690-6985 | Square One 3195 Zinfandel Dr Bldg G Ste 21 Rancho Cordova CA 95670-6376 Ph: (916) 690-6985 |
| NPI Number | 1124391404 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124391404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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