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Organization
SI SE PUEDE BEHAVIORAL INTERVENTION, INC.
Active
Organization
SI SE PUEDE BEHAVIORAL INTERVENTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURKHOLDER BCBA, MA (CLINICAL DIRECTOR)
(925) 240-7638
Entity
Organization
Contact information
Practice address
196 W ARNAUDO BLVD, TRACY, CA 95391-2059
(510) 472-1816
Mailing address
196 W ARNAUDO BLVD, TRACY, CA 95391-2059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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