| The Autism Collaborative Group | |
|
12777 Valley View St Ste 121 Garden Grove CA 92845-2521 | |
| (714) 337-6484 | |
| (855) 213-2184 |
| Full Name | The Autism Collaborative Group |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12777 Valley View St Ste 121, Garden Grove, California |
| Authorized Official Name and Position | Amber Rene Raemer (DIRECTOR) |
| Authorized Official Contact | 7143376484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Autism Collaborative Group 12777 Valley View St Ste 121 Garden Grove CA 92845-2521 Ph: (714) 337-6484 | The Autism Collaborative Group 12777 Valley View St Ste 121 Garden Grove CA 92845-2521 Ph: (714) 337-6484 |
| NPI Number | 1962064998 |
|---|---|
| Provider Enumeration Date | 06/29/2019 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962064998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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