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Organization
EDUCATIONAL THERAPY ASSESSMENT & SERVICES
Active
Organization
EDUCATIONAL THERAPY ASSESSMENT & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN ANN SPEARMAN PT (DIRECTOR)
(909) 795-4255
Entity
Organization
Contact information
Practice address
34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
(909) 795-4255
(909) 795-4438
Mailing address
34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
(909) 795-4255
(909) 795-4438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
CA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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