Open Spectrum Behavior Therapy
Specialty details in registry · Berkeley, CA
At a glance
2625 Alcatraz Ave Ste 609, Berkeley, CA 94705
NPPES record updated Jul 19, 2018. Public records can lag behind changes at a practice.
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Practice location
2625 Alcatraz Ave Ste 609Berkeley, CA 94705
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Nov 6, 2017
- Record updated
- Jul 19, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
101YP2500X
License reported: PCC5297 CA
103K00000X · Primary
License reported: 1-11-9431
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2625 Alcatraz Ave Ste 609Berkeley, CA 94705
- Phone
- (650) 208-8320
Mailing address
2625 ALCATRAZ AVE STE 609BERKELEY, CA 947052702
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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