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Organization
GENESIS BEHAVIOR CENTER INC.
Active
Organization
GENESIS BEHAVIOR CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA DIAZ (BEHAVIOR THERAPIST)
(209) 276-8811
Entity
Organization
Contact information
Practice address
81 W MARCH LN, STOCKTON, CA 95207-5723
(209) 342-7353
Mailing address
81 W MARCH LN, STOCKTON, CA 95207-5723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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