Healthcare Provider Details

I. General information

NPI: 1255296745
Provider Name (Legal Business Name): HEURISTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 MT DIABLO BLVD
LAFAYETTE CA
94549-3912
US

IV. Provider business mailing address

3446 MT DIABLO BLVD
LAFAYETTE CA
94549-3912
US

V. Phone/Fax

Practice location:
  • Phone: 925-280-4442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA WALKER
Title or Position: OWNER
Credential:
Phone: 925-280-4442