Atypical Infant Mortivation
Atypical Infant Mortivation is an Early Intervention Provider Agency in San Jose, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
4115 Jacksol Dr Ste 5San Jose, CA 95124-3312
Phone: (408) 559-1400
Fax: (408) 559-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence H36632 (CA) |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X · Licence H10175 (CA) |
Record details
| NPI number | 1538409768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janie Huggins — Eco · (408) 559-1400 |
| Other names | Aim |
| NPI enumerated | February 25, 2013 |
| Last updated in NPPES | February 25, 2013 |
| Mailing address | 4115 Jacksol Dr, Ste 5, San Jose, CA 95124-3312 |
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