Healthcare Provider Details

I. General information

NPI: 1912640889
Provider Name (Legal Business Name): EUGENIA PAFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5470 KIETZKE LN STE 300
RENO NV
89511-2099
US

IV. Provider business mailing address

11501 DUBLIN BLVD STE 200
DUBLIN CA
94568-2827
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 415-246-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-55444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: