Autism Spectrum Support Center, Llc | |
333 City Blvd W Fl 17 Orange CA 92868-5905 | |
(888) 725-7087 | |
Not Available |
Full Name | Autism Spectrum Support Center, Llc |
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Speciality | Behavior Analyst |
Location | 333 City Blvd W Fl 17, Orange, California |
Authorized Official Name and Position | Charles Chuljoo Rhee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8887257087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Spectrum Support Center, Llc 333 City Blvd W Fl 17 Orange CA 92868-5905 Ph: (888) 725-7087 | Autism Spectrum Support Center, Llc 333 City Blvd W Fl 17 Orange CA 92868-5905 Ph: (888) 725-7087 |
NPI Number | 1215471149 |
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Provider Enumeration Date | 12/12/2016 |
Last Update Date | 08/13/2021 |
Certification Date | 08/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215471149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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