| Center For Learning And Autism Support Services, Inc. | |
|
424 Peninsula Ave San Mateo CA 94401-1653 | |
| (650) 286-4396 | |
| (650) 286-4397 |
| Full Name | Center For Learning And Autism Support Services, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 424 Peninsula Ave, San Mateo, California |
| Authorized Official Name and Position | Ross Berman (SECRETARY / CTO) |
| Authorized Official Contact | 6502864396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Learning And Autism Support Services, Inc. 424 Peninsula Ave San Mateo CA 94401-1653 Ph: (650) 286-4396 | Center For Learning And Autism Support Services, Inc. 424 Peninsula Ave San Mateo CA 94401-1653 Ph: (650) 286-4396 |
| NPI Number | 1417139288 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417139288 | NPI | - | NPPES |
| 1A-41-043 | Other | NPA CERT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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