Genesis Behavior Center Inc. | |
81 W March Ln Stockton CA 95207-5723 | |
(209) 342-7353 | |
Not Available |
Full Name | Genesis Behavior Center Inc. |
---|---|
Speciality | Behavior Technician |
Location | 81 W March Ln, Stockton, California |
Authorized Official Name and Position | Ana Diaz (BEHAVIOR THERAPIST) |
Authorized Official Contact | 2092768811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genesis Behavior Center Inc. 81 W March Ln Stockton CA 95207-5723 Ph: () - | Genesis Behavior Center Inc. 81 W March Ln Stockton CA 95207-5723 Ph: (209) 342-7353 |
NPI Number | 1083289383 |
---|---|
Provider Enumeration Date | 05/20/2021 |
Last Update Date | 05/20/2021 |
Certification Date | 05/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083289383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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