Healthcare Provider Details

I. General information

NPI: 1477416139
Provider Name (Legal Business Name): BETTER TOGETHER PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 LONG ST
EUREKA CA
95501-4119
US

IV. Provider business mailing address

242 LONG ST
EUREKA CA
95501-4119
US

V. Phone/Fax

Practice location:
  • Phone: 707-683-6212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNISAH GARON
Title or Position: OWNER, CFO
Credential: CCC-SLP
Phone: 707-683-6212