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Organization
PACIFICA CLINICS
Active
Organization
PACIFICA CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WHITESIDE RBT (ABA BEHAVIOR TECHNICIAN)
(669) 302-9560
Entity
Organization
Contact information
Practice address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
(626) 254-5000
Mailing address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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