Organization
BREAKTHROUGH EDUCATION SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWAN E FOLEY LEP (OWNER)
(530) 219-4309
Entity
Organization
Contact information
Practice address
1260 LAKE BLVD, WL-228, DAVIS, CA 95616-2614
(530) 219-4309
Mailing address
1260 LAKE BLVD, DAVIS, CA 95616-2614
(530) 219-4309
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
02/16/2024
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