Graham Travenick, BCBA
Behavior Analyst in Oakland, CA. Individual provider (NPI-1).
NPI number1982130191
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1982130191
- Entity type
- Individual (NPI-1)
- Name
- Graham Travenick
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2017
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-25775 | CA | Yes |
Practice location
400 29th St Ste 204Oakland, CA 94609-3547
Phone 415-748-8052
Mailing address
5 Simpson CtWalnut Creek, CA 94596-6714
Phone 925-323-0083
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