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Wanda Ramona Boutte
Developmental Therapist in Antioch, California
NPI 1376980227

Wanda Ramona Boutte is a Developmental Therapist based in Antioch, CA. Wanda Ramona Boutte practices in Antioch, CA. The NPI Number for Wanda Ramona Boutte is 1376980227 and holds a License No. (California).

The current practice location address for Wanda Ramona Boutte is 5241 Medea Way, Antioch, CA and can be reached out via phone at 510-469-1136.

Location: 5241 Medea Way, Antioch, CA, 94531-8727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376980227
Provider Name
Wanda Ramona Boutte
Credential
Provider Entity Type
Individual
Gender
Female
Address
5241 Medea Way, Antioch, CA, 94531-8727
Phone Number
510-469-1136
Fax Number
Provider Enumeration Date
06/02/2013
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376980227 01 CA ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES
CA206171 01 CA NORIDIAN MEDICARE
institution
Provider Business Practice Location Address Details
Address
5241 Medea Way
City
Antioch
State
California
Zip
94531-8727
Phone Number
510-469-1136
Fax Number
person
Provider Business Mailing Address Details
Address
5241 Medea Way
City
Antioch
State
California
Zip
94531-8727
Phone Number
510-469-1136
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
293646 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
()
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
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