| Autism Spectrum Interventions | |
|
713 W Commonwealth Ave Fullerton CA 92832-1612 | |
| (714) 879-4274 | |
| (714) 879-2274 |
| Full Name | Autism Spectrum Interventions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 713 W Commonwealth Ave, Fullerton, California |
| Authorized Official Name and Position | Oluwaseyi Adeyinka (DIVISIONAL CLINICAL SUPERVISOR) |
| Authorized Official Contact | 6262517391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Spectrum Interventions 713 W Commonwealth Ave Ste C Fullerton CA 92832-1612 Ph: (714) 879-4274 | Autism Spectrum Interventions 713 W Commonwealth Ave Fullerton CA 92832-1612 Ph: (714) 879-4274 |
| NPI Number | 1578145082 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578145082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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