Super Star Future Inc | |
5980 Stoneridge Dr Ste 105 Pleasanton CA 94588-2723 | |
(619) 919-9485 | |
Not Available |
Full Name | Super Star Future Inc |
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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 |
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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 |
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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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