| Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence | |
|
1499 S Tippecanoe Ave Building A San Bernardino CA 92415-0024 | |
| (909) 799-3777 | |
| (909) 799-5999 |
| Full Name | Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1499 S Tippecanoe Ave Building A, San Bernardino, California |
| Authorized Official Name and Position | Zachary Dane Ginder (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9097993777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence 1499 S Tippecanoe Ave Bldg A San Bernardino CA 92408-2920 Ph: (909) 799-3777 | Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence 1499 S Tippecanoe Ave Building A San Bernardino CA 92415-0024 Ph: (909) 799-3777 |
| NPI Number | 1689031528 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689031528 | NPI | - | NPPES |
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