| Evolutions | |
|
1007 Calle Sombra San Clemente CA 92673 | |
| (949) 272-6146 | |
| (888) 847-8864 |
| Full Name | Evolutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1007 Calle Sombra, San Clemente, California |
| Authorized Official Name and Position | Adrienne M. Silva (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9492726146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutions 1007 Calle Sombra San Clemente CA 92673 Ph: (949) 272-6146 | Evolutions 1007 Calle Sombra San Clemente CA 92673 Ph: (949) 272-6146 |
| NPI Number | 1275990079 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275990079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-14636 (California) | Primary |
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