Open Spectrum Behavior Therapy

Behavior Analyst · Berkeley, CA

Organization Active NPI

NPI number 1265945844

Practice location

2625 Alcatraz Ave Ste 609
Berkeley, CA 94705
Phone
(650) 208-8320

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NPI record

NPI
1265945844
Entity type
Organization (Type 2)
Enumeration date
November 6, 2017
Last updated
July 19, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-11-9431 —
Professional Counselor 101YP2500X PCC5297 CA

Mailing address

2625 Alcatraz Ave Ste 609
Berkeley, CA 94705-2702

Authorized official

Name
Benjamin Tucker, M.S., LPCC, BCBA
Title
Owner
Phone
(650) 208-8320

About Open Spectrum Behavior Therapy

Open Spectrum Behavior Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705. The NPI number 1265945844 was assigned on November 6, 2017 and the record was last updated on July 19, 2018.

Open Spectrum Behavior Therapy lists 2 licenses in the registry: #1-11-9431 for Behavior Analyst; #PCC5297 (CA) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Benjamin Tucker, M.S., LPCC, BCBA, Owner.

Frequently asked questions

What is the NPI number of Open Spectrum Behavior Therapy?

The NPI number is 1265945844.

What is the phone number of Open Spectrum Behavior Therapy?

The phone number listed for the practice location is (650) 208-8320.

Where is Open Spectrum Behavior Therapy located?

2625 Alcatraz Ave Ste 609, Berkeley, CA 94705.

What is the taxonomy code for Open Spectrum Behavior Therapy?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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