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NPI 1205642774ActiveOrganization· Early Intervention Provider Agency· San Ramon, CA
Early Intervention Provider Agency in San Ramon, California, registered in NPPES in December 2024. The authorized official on file is Jacqueline Butler, EDUCATION SPECIALIST, Owner.
Overview
| NPI | 1205642774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2024 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Early Intervention Provider Agency Primary | 252Y00000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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