| Ag Autism Care Llc | |
|
1362 E Thousand Oaks Blvd Ste 101 Thousand Oaks CA 91362-2819 | |
| (818) 338-2834 | |
| Not Available |
| Full Name | Ag Autism Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1362 E Thousand Oaks Blvd Ste 101, Thousand Oaks, California |
| Authorized Official Name and Position | Anu Goyal (DIRECTOR) |
| Authorized Official Contact | 8183382834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag Autism Care Llc 1362 E Thousand Oaks Blvd Ste 101 Thousand Oaks CA 91362-2819 Ph: () - | Ag Autism Care Llc 1362 E Thousand Oaks Blvd Ste 101 Thousand Oaks CA 91362-2819 Ph: (818) 338-2834 |
| NPI Number | 1235763459 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235763459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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