Healthcare Provider Details

I. General information

NPI: 1871407189
Provider Name (Legal Business Name): CENTER FOR SOCIAL DYNAMICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 PARKER ST APT 10
BERKELEY CA
94704-2888
US

IV. Provider business mailing address

2315 PARKER ST APT 10
BERKELEY CA
94704-2888
US

V. Phone/Fax

Practice location:
  • Phone: 209-262-8658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HUMA ARIFI
Title or Position: BEHAVIOR SPECIALIST-ENTRY LEVEL
Credential:
Phone: 209-262-8658