Organization
MIXED BEHAVIOR FOUNDATION
Active
Other names
MIXED BEHAVIOR FOUNDATION
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA JACKSON (EXECUTIVE DIRECTOR/CFO)
(925) 430-8295
Entity
Organization
Contact information
Practice address
6955 FOOTHILL BLVD # 275, OAKLAND, CA 94605-2455
(925) 430-8295
Mailing address
2872 YGNACIO VALLEY RD # 439, WALNUT CREEK, CA 94598-3534
(925) 430-8295
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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