| Van Kober Bcba, LLC | |
|
3776 Pinewood Pl Santa Clara CA 95054-2152 | |
| (408) 980-9102 | |
| Not Available |
| Full Name | Van Kober Bcba, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3776 Pinewood Pl, Santa Clara, California |
| Authorized Official Name and Position | Van Anna Kober (BEHAVIOR ANALYST) |
| Authorized Official Contact | 4089809102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Kober Bcba, LLC 1025 Alameda De Las Pulgas # 340 Belmont CA 94002-3507 Ph: (408) 221-9350 | Van Kober Bcba, LLC 3776 Pinewood Pl Santa Clara CA 95054-2152 Ph: (408) 980-9102 |
| NPI Number | 1336550029 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336550029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-09-6464 (California) | Primary |
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