| Pillar 5 | |
|
251 E 13th St Arcata CA 95521-6060 | |
| (707) 601-7088 | |
| (707) 781-4054 |
| Full Name | Pillar 5 |
|---|---|
| Speciality | Behavior Analyst |
| Location | 251 E 13th St, Arcata, California |
| Authorized Official Name and Position | Thomas Anthony Decarli (PRESIDENT/BCBA) |
| Authorized Official Contact | 7076017088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillar 5 251 E 13th St Arcata CA 95521-6060 Ph: (707) 601-7088 | Pillar 5 251 E 13th St Arcata CA 95521-6060 Ph: (707) 601-7088 |
| NPI Number | 1407572886 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407572886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
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