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Organization
ADVANCE KIDS
Active
Organization
ADVANCE KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WENELL (CEO PRESIDENT)
(916) 363-6103
Entity
Organization
Contact information
Practice address
9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 95827-3334
(916) 363-6103
(916) 244-0594
Mailing address
9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 95827-3334
(916) 363-6103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/11/2009
Last updated
04/26/2018
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