| Olive Branch Autism Services | |
|
5750 Sunrise Blvd Ste 210b Citrus Heights CA 95610-7639 | |
| (916) 794-2326 | |
| (916) 626-4682 |
| Full Name | Olive Branch Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5750 Sunrise Blvd Ste 210b, Citrus Heights, California |
| Authorized Official Name and Position | Adam Olives (BCBA OWNER) |
| Authorized Official Contact | 9167942326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Autism Services 5750 Sunrise Blvd Ste 210b Citrus Heights CA 95610-7639 Ph: (916) 794-2326 | Olive Branch Autism Services 5750 Sunrise Blvd Ste 210b Citrus Heights CA 95610-7639 Ph: (916) 794-2326 |
| NPI Number | 1124596390 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124596390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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