Healthcare Provider Details
I. General information
NPI: 1497332969
Provider Name (Legal Business Name): ONE WORLD THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
875 RICHLAND RD
YUBA CITY CA
95991-6267
US
IV. Provider business mailing address
686 SHANGHAI BEND RD
YUBA CITY CA
95991-8326
US
V. Phone/Fax
- Phone: 530-329-6368
- Fax:
- Phone: 530-329-6368
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASPREET
JAGPAL
Title or Position: OWNER
Credential: BCBA
Phone: 530-329-6368