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Organization

ABC: ASSOCIATION OF BEHAVIOR CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM PALYO (CHIEF EXECUTIVE OFFICER)
(707) 575-3290
Entity
Organization

Contact information

Practice address
3808 ZIEBER RD, SANTA ROSA, CA 95404-2636
(707) 575-3290
Mailing address
611 LYDING LN, SEBASTOPOL, CA 95472-3368
(217) 621-7833

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QD1600X
Developmental Disabilities Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
09/23/2013
Last updated
09/23/2013
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