| Autism And Developmental Intervention Services, Inc. | |
|
23811 Washington Ave C110-296 Murrieta CA 92562-2267 | |
| (714) 472-3660 | |
| (951) 304-0390 |
| Full Name | Autism And Developmental Intervention Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23811 Washington Ave C110-296, Murrieta, California |
| Authorized Official Name and Position | Brandi Tavis (VICE-PRESIDENT/CFO) |
| Authorized Official Contact | 7144723660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism And Developmental Intervention Services, Inc. 23811 Washington Ave C110-296 Murrieta CA 92562-2267 Ph: (714) 472-3660 | Autism And Developmental Intervention Services, Inc. 23811 Washington Ave C110-296 Murrieta CA 92562-2267 Ph: (714) 472-3660 |
| NPI Number | 1144776287 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144776287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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