| California Autism Center, Inc. | |
|
1630 W. Shaw Ave Suite 190 Fresno CA 93710-8114 | |
| (559) 492-7900 | |
| Not Available |
| Full Name | California Autism Center, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1630 W. Shaw Ave, Fresno, California |
| Authorized Official Name and Position | William Forath (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 5594927900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Autism Center, Inc. 5132 N Palm Ave Box #303 Fresno CA 93704-2236 Ph: (559) 385-5858 | California Autism Center, Inc. 1630 W. Shaw Ave Suite 190 Fresno CA 93710-8114 Ph: (559) 492-7900 |
| NPI Number | 1871915678 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871915678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (California) | Primary |
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