| Easter Seals Southern California, Inc | |
|
500 W Central Ave Ste A Brea CA 92821-3027 | |
| (714) 834-1111 | |
| (714) 834-1128 |
| Full Name | Easter Seals Southern California, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 500 W Central Ave, Brea, California |
| Authorized Official Name and Position | Susan Berglund (CFO) |
| Authorized Official Contact | 7148341111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Southern California, Inc 1801 E Edinger Ave Ste 190 Santa Ana CA 92705-4754 Ph: (714) 834-1111 | Easter Seals Southern California, Inc 500 W Central Ave Ste A Brea CA 92821-3027 Ph: (714) 834-1111 |
| NPI Number | 1740573690 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740573690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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