Organization
CHILD COMMUNICATION AND BEHAVIOR SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA COUNTIE BCBA (FOUNDER/CEO)
(866) 227-1211
Entity
Organization
Contact information
Practice address
1494 HAMILTON AVE, SAN JOSE, CA 95125-4535
(866) 227-1211
Mailing address
1494 HAMILTON AVE, SAN JOSE, CA 95125-4535
(866) 227-1211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
1-12-12666
CA
251S00000X
Community/Behavioral Health Agency
Primary
1-12-12666
CA
252Y00000X
Early Intervention Provider Agency
1-12-12666
CA
Other
Enumeration date
08/27/2013
Last updated
10/05/2021
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