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Organization
REBEHAVIOR
Active
Organization
REBEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSHREE PATEL M.ED., BCBA (EXECUTIVE DIRECTOR)
(631) 374-6613
Entity
Organization
Contact information
Practice address
890 PAGE ST, APT. 3, SAN FRANCISCO, CA 94117-2339
(631) 374-6613
Mailing address
890 PAGE ST, APT. 3, SAN FRANCISCO, CA 94117-2339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13319
CA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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