Organization
INTERACT BEHAVIOR, LLC
Active
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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