Basic Information
| Provider Information | |||||||||
| NPI: | 1336531342 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | A IS FOR APPLE, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1485 SARATOGA AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951294965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8779910009 | ||||||||
| FaxNumber: | 8778107944 | ||||||||
| Practice Location | |||||||||
| Address1: | 1485 SARATOGA AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951294965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8779910009 | ||||||||
| FaxNumber: | 8778107944 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2015 | ||||||||
| LastUpdateDate: | 02/27/2015 | ||||||||
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| AuthorizedOfficialLastName: | CABUDOL | ||||||||
| AuthorizedOfficialFirstName: | LEILANI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALING/INTAKE | ||||||||
| AuthorizedOfficialTelephone: | 8779910009 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 1-14-16102 | ZZ | Y | Agencies | Community/Behavioral Health |
No ID Information.