Individual
MS. ADHANET YEMANE TESFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1485 SARATOGA AVE STE 100, SAN JOSE, CA 95129-4965
(818) 241-6780
(818) 241-6853
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40407
CA
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-40407
BCBA
CA
Enumeration date
04/06/2015
Last updated
08/21/2020
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