Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
OPEN SPECTRUM BEHAVIOR THERAPY
Active
Organization
OPEN SPECTRUM BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TUCKER M.S., LPCC, BCBA (OWNER)
(650) 208-8320
Entity
Organization
Contact information
Practice address
2625 ALCATRAZ AVE STE 609, BERKELEY, CA 94705
(650) 208-8320
Mailing address
2625 ALCATRAZ AVE STE 609, BERKELEY, CA 94705-2702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PCC5297
CA
103K00000X
Behavior Analyst
Primary
1-11-9431
—
Other
Enumeration date
11/06/2017
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up