Individual
ADOLPH BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 BONITA AVE, BERKELEY, CA 94709-1909
(510) 526-4765
(510) 526-2887
Mailing address
1318 B STREET, APT. 210, SAN LEANDRO, CA 94577
(510) 812-0025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
08/28/2025
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