Provider Demographics
NPI:1376707141
Name:MOTIVATION CONFIDENCE ACHIEVEMENT CORPORATION
Entity Type:Organization
Organization Name:MOTIVATION CONFIDENCE ACHIEVEMENT CORPORATION
Other - Org Name:MCA CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, BCBA-D
Authorized Official - Phone:510-449-3386
Mailing Address - Street 1:3775 BEACON AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1465
Mailing Address - Country:US
Mailing Address - Phone:510-449-3386
Mailing Address - Fax:855-244-3594
Practice Address - Street 1:3775 BEACON AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1465
Practice Address - Country:US
Practice Address - Phone:510-449-3386
Practice Address - Fax:855-244-3594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty