Carrington V Allen

Individual provider Active NPI Behavior Technician · Pleasanton, CA

NPI 1962099317 · NPPES record last updated Dec 30, 2020

Key facts

NPI
1962099317
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Dec 30, 2020
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 CA Yes

Addresses

Primary practice location

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347

Mailing address

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347
Phone (877) 418-2978

Other providers in Pleasanton, CA

All providers in Pleasanton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.