California State University Fresno Foundation

LBN: California State University Fresno Foundation
California State University Fresno Foundation is an health care organization with primary practice located at 4910 N Chestnut Ave , Fresno CA 93726-1852. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Agencies / Early Intervention Provider Agency. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. California State University Fresno Foundation can be contacted via phone (559) 278-6773, or through Jackson, Marianne via phone (559) 278-6773.

Contact Information

Primary practice address
4910 N Chestnut Ave Fresno CA 93726-1852
Phone: (559) 278-6773
Fax: (559) 278-0015
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Marianne PH.D.
Phone: (559) 278-6773

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1821362211
LBN Legal business name California State University Fresno Foundation
DBA Doing business as
Authorized official Jackson, Marianne PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2012
Last updated Jan 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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