Organization
BEYOND BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE BOHLKE MS, BCBA (BEHAVIOR ANALYST)
(952) 457-3963
Entity
Organization
Contact information
Practice address
521 38TH AVE, SANTA CRUZ, CA 95062-5524
(952) 457-3963
Mailing address
521 38TH AVE, SANTA CRUZ, CA 95062-5524
(952) 457-3963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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