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NPI Code Detail

MEDICARE: PARENTAL ZEN LLC

MEDICARE: PARENTAL ZEN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1962262832
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARENTAL ZEN LLC
Provider Business Mailing Address
First Line : 1 W CAMPBELL AVE STE D36
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-1041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 W CAMPBELL AVE STE D36
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-1041
Country : US
Telephone Number : 408-601-7731
Fax Number : 916-610-1433
Authorized Official
Title or Position : OWNER
Name : WENJUN MA
Credential :
Telephone Number : 408-601-7731
Provider Enumeration Date : 03/19/2024
Last Update Date : 12/04/2024

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Directions to “PARENTAL ZEN LLC ” Practice Location

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