Princess Acquah

Individual provider Active NPI Behavior Technician · Newark, CA

NPI 1649907866 · NPPES record last updated Aug 8, 2022

Key facts

NPI
1649907866
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
39899 Balentine Dr Ste 110
Newark, CA 94560-5356
Phone
(855) 223-7123
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

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 Technician 106S00000X Yes

Addresses

Primary practice location

39899 Balentine Dr Ste 110
Newark, CA 94560-5356

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123

Other providers in Newark, CA

All providers in Newark, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.