Sitka Boehmer

Individual provider Active NPI Behavior Technician · Cupertino, CA

NPI 1679115273 · NPPES record last updated Oct 15, 2019

Key facts

NPI
1679115273
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358
Phone
(669) 210-0301
NPI assigned
Oct 15, 2019
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

1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Cupertino, CA

All providers in Cupertino, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.