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Organization

CHANGE WITH ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS POOJA CHOPRA M.S BCBA (CEO - CLINICAL DIRECTOR)
(818) 585-8061
Entity
Organization

Contact information

Practice address
1259 SUNNY CT, #4, SAN JOSE, CA 95116-2863
(818) 585-8061
Mailing address
1259 SUNNY CT, #4, SAN JOSE, CA 95116-2863

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/29/2016
Last updated
06/29/2016
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