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Organization
EASTERSEALS NORTHERN CALIFORNIA
Active
Organization
EASTERSEALS NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA PETTIFORD (PRESIDENT AND CEO)
(925) 477-8768
Entity
Organization
Contact information
Practice address
2730 SHADELANDS DRIVE, BLDG. 10, WALNUT CREEK, CA 94598
(925) 266-8400
(510) 444-2470
Mailing address
2730 SHADELANDS DRIVE, BLDG. 10, WALNUT CREEK, CA 94598
(925) 266-8400
(510) 444-2470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
MFC45876
CA
Other
Enumeration date
05/25/2010
Last updated
12/31/2024
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