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OPEN SPECTRUM BEHAVIOR THERAPY NPI 1265945844


NPI Information

NPI: 1265945844
Provider Name: OPEN SPECTRUM BEHAVIOR THERAPY
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
2625 ALCATRAZ AVE STE 609
BERKELEY, CA
ZIP 94705
Phone: (650) 208-8320
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OPEN SPECTRUM BEHAVIOR THERAPY is a behavior analyst in Berkeley, CA. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. OPEN SPECTRUM BEHAVIOR THERAPY NPI is 1265945844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2625 ALCATRAZ AVE STE 609
BERKELEY, CA
ZIP 94705
Phone: (650) 208-8320

The provider's authorized official is Benjamin Tucker .
The authorized official title is Owner and has the following contact phone number (650) 208-8320.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalPCC5297CALIFORNIANo
2103K00000XBehavior Analyst1-11-9431Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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