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Autism And Developmental Intervention Services

Behavior Analyst in Murrieta, CA. Organization (NPI-2).

NPI number1962879544
StatusActive
Last updated in NPPESAug 30, 2015

Details

NPI
1962879544
Entity type
Organization (NPI-2)
Legal business name
Autism And Developmental Intervention Services
Organization subpart
No
Enumeration date
Aug 30, 2015
Last updated
Aug 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

23259 Joaquin Ridge Dr
Murrieta, CA 92562-3208

Phone 714-472-3660

Mailing address

23259 Joaquin Ridge Dr
Murrieta, CA 92562-3208

Authorized official

Brandi Tavis
Clinical Director/Owner
7144723660

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