Provider Demographics
NPI:1326557802
Name:MOMPOINT, REBECCA TERESA (M ED)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:TERESA
Last Name:MOMPOINT
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 DUNCANVILLE CT
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3148
Mailing Address - Country:US
Mailing Address - Phone:650-380-5160
Mailing Address - Fax:
Practice Address - Street 1:1171 HOMESTEAD RD STE 280
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5486
Practice Address - Country:US
Practice Address - Phone:408-320-2590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst