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Organization
BICC CENTRAL CALIFORNIA
Active
Organization
BICC CENTRAL CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARSHALL (OPERATIONS MANAGER)
(559) 515-6485
Entity
Organization
Contact information
Practice address
1782 E BULLARD AVE STE 104, FRESNO, CA 93710-5868
(559) 515-6485
(558) 447-1567
Mailing address
1782 E BULLARD AVE STE 104, FRESNO, CA 93710-5868
(559) 515-6485
(558) 447-1567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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