| Educational Therapy Assessment & Services | |
|
34590 County Line Rd Suite 7 Yucaipa CA 92399-5303 | |
| (909) 795-4255 | |
| (909) 795-4438 |
| Full Name | Educational Therapy Assessment & Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 34590 County Line Rd, Yucaipa, California |
| Authorized Official Name and Position | Doreen Ann Spearman (DIRECTOR) |
| Authorized Official Contact | 9097954255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educational Therapy Assessment & Services 34590 County Line Rd Suite 7 Yucaipa CA 92399-5303 Ph: (909) 795-4255 | Educational Therapy Assessment & Services 34590 County Line Rd Suite 7 Yucaipa CA 92399-5303 Ph: (909) 795-4255 |
| NPI Number | 1073819777 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073819777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (California) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (California) | Secondary |
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