Organization
CLINIC 4 KIDZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEETA R PATEL PHD, BCBA (EXECUTIVE DIRECTOR AND CEO)
(415) 332-6066
Entity
Organization
Contact information
Practice address
7 CLOUD VIEW TRL, SAUSALITO, CA 94965-2061
(415) 332-6066
(415) 332-6068
Mailing address
PO BOX 1711, SAUSALITO, CA 94966-1711
(415) 332-6066
(415) 332-6068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0346
CA
103K00000X
Behavior Analyst
1-12-12024
CA
103K00000X
Behavior Analyst
1-14-16743
CA
133N00000X
Nutritionist
2801
MN
133VN1004X
Pediatric Nutrition Registered Dietitian
712332
CA
235Z00000X
Speech-Language Pathologist
11937
CA
Other
Enumeration date
01/08/2009
Last updated
06/21/2016
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