| Beacon Autistic Spectrum Independence Center- B.a.s.i.c. | |
|
24 Centerpointe Dr La Palma CA 90623-1028 | |
| (714) 288-4200 | |
| (714) 707-4316 |
| Full Name | Beacon Autistic Spectrum Independence Center- B.a.s.i.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 24 Centerpointe Dr, La Palma, California |
| Authorized Official Name and Position | Mary Jo Lang (CEO) |
| Authorized Official Contact | 7142884200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Autistic Spectrum Independence Center- B.a.s.i.c. 24 Centerpointe Dr La Palma CA 90623-1028 Ph: (714) 288-4200 | Beacon Autistic Spectrum Independence Center- B.a.s.i.c. 24 Centerpointe Dr La Palma CA 90623-1028 Ph: (714) 288-4200 |
| NPI Number | 1750783890 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY12076 (California) | Secondary |
| 103K00000X | Behavior Analyst | PSY12076 (California) | Primary |
Mary Joann Lang, Ph.d., Psychologist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Centerpointe Dr, La Palma, CA 90623 Phone: 714-288-4200 | |
Amhs Telecare Home First North Fsp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Centerpointe Dr Ste 130, La Palma, CA 90623 Phone: 657-325-8313 Fax: 619-810-2313 | |
La Palma Intercommunity Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7901 Walker St, La Palma, CA 90623 Phone: 714-670-7400 | |
Kind Intervention Direct Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Centerpointe Dr Ste 700, La Palma, CA 90623 Phone: 562-455-4477 | |
Beacon Autistic Spectrum Independence Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Centerpointe Dr, La Palma, CA 90623 Phone: 714-288-4200 | |
La Palma Intercommunity Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 Walker St, La Palma, CA 90623 Phone: 714-670-6025 Fax: 714-670-6287 | |
La Palma Intercommunity Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 Walker St, La Palma, CA 90623 Phone: 714-670-6025 Fax: 714-670-6287 |