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Organization
GOALS FOR AUTISM, INC.
Active
Organization
GOALS FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRYON KETCHAM (CEO)
(415) 915-9408
Entity
Organization
Contact information
Practice address
800 S BROADWAY STE 310, WALNUT CREEK, CA 94596-5218
(415) 915-9408
Mailing address
800 S BROADWAY STE 310, WALNUT CREEK, CA 94596-5218
(888) 531-8385
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NV
103K00000X
Behavior Analyst
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
251S00000X
Community/Behavioral Health Agency
—
CA
252Y00000X
Early Intervention Provider Agency
—
CA
Other
Enumeration date
01/20/2010
Last updated
01/20/2021
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