Individual
BERNY A ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
46-1305562
CA
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
06/17/2025
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