Healthcare Provider Details

I. General information

NPI: 1750190583
Provider Name (Legal Business Name): ROWELL FAMILY EMPOWERMENT OF NORTHERN CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 CHURN CREEK RD. BUILDING A-1
REDDING CA
96002
US

IV. Provider business mailing address

3330 CHURN CREEK RD. BUILDING A-1
REDDING CA
96002
US

V. Phone/Fax

Practice location:
  • Phone: 530-226-5126
  • Fax: 530-226-5141
Mailing address:
  • Phone: 530-226-5129
  • Fax: 530-226-5141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. GINA L GRECIAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: R.N., MICN
Phone: 530-226-5129