Beatriz Funes-Houseknecht

Individual provider Active NPI Behavior Analyst · Pacifica, CA

NPI 1639427156 · NPPES record last updated Aug 15, 2012

Key facts

NPI
1639427156
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
480 Manor PLZ
Pacifica, CA 94044-1839
Phone
(650) 355-8787
Fax
(650) 355-8780
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

480 Manor PLZ
Pacifica, CA 94044-1839

Mailing address

480 Manor PLZ
Pacifica, CA 94044-1839
Phone (650) 355-8787

Other providers in Pacifica, CA

All providers in Pacifica, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.