Individual
MS. CAMICE JEANETTE REVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1814 FRANKLIN ST, SUITE 400, OAKLAND, CA 94612-3487
(510) 318-6100
(510) 830-3318
Mailing address
2579 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7100
(510) 446-7191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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