| Autism Living Experience Of California Llc | |
|
1570 Cove Ct San Marcos CA 92069-3528 | |
| (443) 838-9065 | |
| Not Available |
| Full Name | Autism Living Experience Of California Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1570 Cove Ct, San Marcos, California |
| Authorized Official Name and Position | Todd Stuckey (CFO) |
| Authorized Official Contact | 4438389065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Living Experience Of California Llc 6700 Alexander Bell Dr Ste 253 Columbia MD 21046-2122 Ph: (443) 838-9065 | Autism Living Experience Of California Llc 1570 Cove Ct San Marcos CA 92069-3528 Ph: (443) 838-9065 |
| NPI Number | 1730843582 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730843582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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