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Contact Information

EASTER SEALS BAY AREA
160 WIKIUP DRIVE, SUITE 102
SANTA ROSA, CA95403
 Phone: 707-843-3745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EASTER SEALS BAY AREA · (Female)

NPI Number 1780048421
Status Active
Credentials
Entity Individual
Enumeration date 04/08/2016
Last updated 11/05/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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