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Organization
PIVOT BEHAVIORAL HEALTH LLC
Active
Organization
PIVOT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO GUSTAVO VASQUEZ (OWNER)
(501) 356-0473
Entity
Organization
Contact information
Practice address
490 43RD ST # 38, OAKLAND, CA 94609-2138
(510) 900-3103
Mailing address
490 43RD ST # 38, OAKLAND, CA 94609-2138
(510) 900-3103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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