Healthcare Provider Details

I. General information

NPI: 1710207162
Provider Name (Legal Business Name): TULARE COUNTY OFFICE OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11535 AVENUE 264
VISALIA CA
93277
US

IV. Provider business mailing address

2637 W BURREL AVE PO BOX 5091
VISALIA CA
93291-4511
US

V. Phone/Fax

Practice location:
  • Phone: 559-747-3984
  • Fax: 559-747-3642
Mailing address:
  • Phone: 559-747-3984
  • Fax: 559-747-3642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD C PEKAREK
Title or Position: PROGRAM MANAGER
Credential: MA, PPS, BCBA
Phone: 559-747-3984