# EDUCATIONAL THERAPY ASSESSMENT & SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073819777
- **Authorized official:** MS. DOREEN ANN SPEARMAN PT (DIRECTOR)
- **Authorized official phone:** (909) 795-4255

## Contact information

- **Practice address:** 34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
- **Practice address phone:** (909) 795-4255
- **Practice address fax:** (909) 795-4438
- **Mailing address:** 34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
- **Mailing address phone:** (909) 795-4255
- **Mailing address fax:** (909) 795-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | CA | Yes |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | CA | — |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011