| Marina Autism Services Llc | |
|
9920 Pacific Heights Blvd Ste 150 San Diego CA 92121-4361 | |
| (615) 861-9786 | |
| Not Available |
| Full Name | Marina Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9920 Pacific Heights Blvd Ste 150, San Diego, California |
| Authorized Official Name and Position | Yosef Schuck (OWNER) |
| Authorized Official Contact | 6158619786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Autism Services Llc 9920 Pacific Heights Blvd Ste 150 San Diego CA 92121-4361 Ph: (917) 809-9259 | Marina Autism Services Llc 9920 Pacific Heights Blvd Ste 150 San Diego CA 92121-4361 Ph: (615) 861-9786 |
| NPI Number | 1164156121 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164156121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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