| Phaedrus Consulting, Llc | |
|
1112 Vessona Cir Folsom CA 95630-8727 | |
| (916) 906-4730 | |
| Not Available |
| Full Name | Phaedrus Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1112 Vessona Cir, Folsom, California |
| Authorized Official Name and Position | Vanessa G Gruber (CREDENTIALING) |
| Authorized Official Contact | 9168021313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaedrus Consulting, Llc 1112 Vessona Cir Folsom CA 95630-8727 Ph: (916) 906-4730 | Phaedrus Consulting, Llc 1112 Vessona Cir Folsom CA 95630-8727 Ph: (916) 906-4730 |
| NPI Number | 1104593326 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104593326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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