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Organization

1ST STEP APPLIED BEHAVIOR ANALYSTS, INC

Active
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Organization

1ST STEP APPLIED BEHAVIOR ANALYSTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN D VANDENBERG BCBA (CLINICAL DIRECTOR)
(530) 748-9395
Entity
Organization

Contact information

Practice address
3107 ALHAMBRA DR, SUITE C, CAMERON PARK, CA 95682-7688
(916) 712-7395
(530) 677-5443
Mailing address
PO BOX 2000, SHINGLE SPRINGS, CA 95682-2000
(916) 712-7395
(530) 677-5443

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1073547
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104128362
BEHAVIOR HEALTH
CA
Enumeration date
01/18/2013
Last updated
01/18/2013
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