Individual
DIANNE STEPHANIE BITANGA BACLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Mailing address
2734 CARASTON WAY, SAN JOSE, CA 95148-2522
(408) 981-5520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/05/2025
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