Organization
AUTISM COLLABORATIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA WELLS MA (OWNER)
(510) 356-2755
Entity
Organization
Contact information
Practice address
3292 JORDAN RD, OAKLAND, CA 94602-3535
(510) 356-2755
(510) 356-2755
Mailing address
3292 JORDAN RD, OAKLAND, CA 94602-3535
(510) 356-2755
(510) 356-2755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PSY16680
CA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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