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Organization
FAMILYCARE BEHAVIORAL SERVICES
Active
Organization
FAMILYCARE BEHAVIORAL SERVICES
Active
Other names
FamilyCare Autism Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M PETRICK BCBA (PRESIDENT)
(408) 835-0048
Entity
Organization
Contact information
Practice address
5669 SNELL AVE # 451, SAN JOSE, CA 95123-3328
(408) 835-0048
(650) 434-0749
Mailing address
5669 SNELL AVE # 451, SAN JOSE, CA 95123-3328
(408) 835-0048
(650) 434-0749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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