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Organization
PILLAR 5
Active
Organization
PILLAR 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANTHONY DECARLI BCBA (PRESIDENT/BCBA)
(707) 601-7088
Entity
Organization
Contact information
Practice address
251 E 13TH ST, ARCATA, CA 95521-6060
(707) 601-7088
(707) 781-4054
Mailing address
251 E 13TH ST, ARCATA, CA 95521-6060
(707) 601-7088
(707) 781-4054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/17/2022
Last updated
09/19/2024
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