Organization
ABA SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMRAT ROY MA CCC SLP (SPEECH LANGUAGE PATHOLOGIST/COO)
(408) 244-1743
Entity
Organization
Contact information
Practice address
920 SARATOGA AVE STE 102, SAN JOSE, CA 95129-3445
(408) 244-1743
(408) 212-9620
Mailing address
920 SARATOGA AVE STE 102, SAN JOSE, CA 95129-3445
(408) 244-1743
(408) 212-9620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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