College Living Experience | |
25 Spectrum Pointe Dr Suite 405 Lake Forest CA 92630-2276 | |
(949) 939-8032 | |
(949) 457-1347 |
Full Name | College Living Experience |
---|---|
Speciality | Behavior Analyst |
Location | 25 Spectrum Pointe Dr, Lake Forest, California |
Authorized Official Name and Position | Erica R Holding (DIRECTOR) |
Authorized Official Contact | 9492701233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
College Living Experience 2183 Fairview Rd Suite 101 Costa Mesa CA 92627-5663 Ph: (949) 270-1234 | College Living Experience 25 Spectrum Pointe Dr Suite 405 Lake Forest CA 92630-2276 Ph: (949) 939-8032 |
NPI Number | 1689981714 |
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Provider Enumeration Date | 09/10/2010 |
Last Update Date | 03/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689981714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-01-0418 (California) | Primary |
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