Healthcare Provider Details

I. General information

NPI: 1952850752
Provider Name (Legal Business Name): BECA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 09/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 3RD ST SUITE 108
SACRAMENTO CA
95818-1100
US

IV. Provider business mailing address

2555 3RD ST SUITE 108
SACRAMENTO CA
95818-1100
US

V. Phone/Fax

Practice location:
  • Phone: 916-443-2479
  • Fax:
Mailing address:
  • Phone: 916-443-2479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-13-13092
License Number StateNY

VIII. Authorized Official

Name: DR. TRACY GUIOU
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D., BCBA
Phone: 916-443-2479