| Familycare Behavioral Services | |
|
5669 Snell Ave # 451 San Jose CA 95123-3328 | |
| (408) 835-0048 | |
| (650) 434-0749 |
| Full Name | Familycare Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5669 Snell Ave # 451, San Jose, California |
| Authorized Official Name and Position | Kristen M Petrick (PRESIDENT) |
| Authorized Official Contact | 4088350048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familycare Behavioral Services 5669 Snell Ave # 451 San Jose CA 95123-3328 Ph: (408) 835-0048 | Familycare Behavioral Services 5669 Snell Ave # 451 San Jose CA 95123-3328 Ph: (408) 835-0048 |
| NPI Number | 1720542830 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720542830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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