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Organization
PEACEFUL MIND, INC.
Active
Organization
PEACEFUL MIND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI LYNNE ANDERSEN-TARICA (BILLING MANAGER)
(805) 541-5055
Entity
Organization
Contact information
Practice address
3220 S HIGUERA ST, STE 205, SAN LUIS OBISPO, CA 93401-6987
(805) 541-5055
(805) 541-5075
Mailing address
3220 S HIGUERA ST, STE 205, SAN LUIS OBISPO, CA 93401-6987
(805) 541-5055
(805) 541-5075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A87435
CA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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