Individual
BINITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 412-3606
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ASW125290
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/06/2019
Last updated
11/27/2024
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