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Organization
AUTISM AND DEVELOPMENTAL INTERVENTION SERVICES, INC.
Active
Organization
AUTISM AND DEVELOPMENTAL INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI TAVIS M.ED., B.C.B.A. (VICE-PRESIDENT/CFO)
(714) 472-3660
Entity
Organization
Contact information
Practice address
23811 WASHINGTON AVE C110-296, MURRIETA, CA 92562-2267
(714) 472-3660
(951) 304-0390
Mailing address
23811 WASHINGTON AVE C110-296, MURRIETA, CA 92562-2267
(714) 472-3660
(951) 304-0390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2018
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