Provider Demographics
NPI:1902423577
Name:EUNOIA - BEHAVIORAL CONSULTANT SERVICES
Entity type:Organization
Organization Name:EUNOIA - BEHAVIORAL CONSULTANT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SURMEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:951-208-5410
Mailing Address - Street 1:2222 CABANA LN
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-1113
Mailing Address - Country:US
Mailing Address - Phone:951-208-5410
Mailing Address - Fax:
Practice Address - Street 1:2121 DOXEY DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2665
Practice Address - Country:US
Practice Address - Phone:951-208-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EUNOIA - BEHAVIORAL CONSULTANT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-30
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty