Healthcare Provider Details

I. General information

NPI: 1396579488
Provider Name (Legal Business Name): CHRISTOPHER SAAVEDRA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 TEDDY AVE
SAN FRANCISCO CA
94134-2341
US

IV. Provider business mailing address

2360 IRVING ST
SAN FRANCISCO CA
94122-1621
US

V. Phone/Fax

Practice location:
  • Phone: 415-716-4513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: