| Genesis Behavior Center, Inc | |
|
528 14th Genesis Behavior Center, Inc. Modesto CA 95354 | |
| (209) 577-2014 | |
| (209) 577-1718 |
| Full Name | Genesis Behavior Center, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 528 14th Genesis Behavior Center, Inc., Modesto, California |
| Authorized Official Name and Position | Romina Kiryakous (BEHAVIOR ANALYST) |
| Authorized Official Contact | 2094957724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavior Center, Inc 528 14th Genesis Behavior Center, Inc. Modesto CA 95354 Ph: (209) 577-2014 | Genesis Behavior Center, Inc 528 14th Genesis Behavior Center, Inc. Modesto CA 95354 Ph: (209) 577-2014 |
| NPI Number | 1689909582 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Medicare PECOS PAC ID | 0042736753 |
|---|---|
| Medicare Enrollment ID | O20250425000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689909582 | NPI | - | NPPES |
| Provider Name | Sandra K Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730135971 PECOS PAC ID: 2163489246 Enrollment ID: I20201022004257 |
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