Provider Demographics
NPI:1568932697
Name:PARTOS, SYDNEY BREEN
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:BREEN
Last Name:PARTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2710
Mailing Address - Country:US
Mailing Address - Phone:510-260-6151
Mailing Address - Fax:
Practice Address - Street 1:2208 BLAKE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2710
Practice Address - Country:US
Practice Address - Phone:510-260-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst