Organization
INTERACT BEHAVIOR, LLC
Active
Other names
Interact Behavior Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA CANON B.C.B.A. (DIRECTOR)
(510) 306-1422
Entity
Organization
Contact information
Practice address
2340 POWELL ST, SUITE 347, EMERYVILLE, CA 94608-1738
(510) 306-1422
(855) 249-5322
Mailing address
2340 POWELL ST, SUITE 347, EMERYVILLE, CA 94608-1738
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
CA
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
252Y00000X
Early Intervention Provider Agency
—
CA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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