Provider Demographics
NPI:1134459217
Name:SPECIALIZED EDUCATION OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:SPECIALIZED EDUCATION OF CALIFORNIA, INC.
Other - Org Name:SIERRA SCHOOLS OF CA (A CATAPULT LEARNING COMPANY)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DROKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:707-453-6227
Mailing Address - Street 1:1745 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-5801
Mailing Address - Country:US
Mailing Address - Phone:707-453-6227
Mailing Address - Fax:707-447-7534
Practice Address - Street 1:1745 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5801
Practice Address - Country:US
Practice Address - Phone:707-453-6225
Practice Address - Fax:707-447-7534
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED EDUCATION OF CALIFORNIA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-12
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health