| Super Star Future Inc | |
|
5980 Stoneridge Dr Ste 105 Pleasanton CA 94588-2723 | |
| (619) 919-9485 | |
| Not Available |
| Full Name | Super Star Future Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5980 Stoneridge Dr Ste 105, Pleasanton, California |
| Authorized Official Name and Position | Nick Yuan (MANAGER) |
| Authorized Official Contact | 6199199485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Star Future Inc 5980 Stoneridge Dr Ste 105 Pleasanton CA 94588-2723 Ph: (619) 919-9485 | Super Star Future Inc 5980 Stoneridge Dr Ste 105 Pleasanton CA 94588-2723 Ph: (619) 919-9485 |
| NPI Number | 1306543335 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306543335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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