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Organization
TASKIDS INC
Active
Organization
TASKIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA FUNK (CREDENTIALING SPECIALIST)
(949) 422-3609
Entity
Organization
Contact information
Practice address
2201 EAST FOURTH STREET, SANTA ANA, CA 92705-3804
(714) 683-5876
(888) 420-6257
Mailing address
2201 E FOURTH ST, SANTA ANA, CA 92705-3804
(714) 683-5876
(888) 420-6257
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/02/2020
Last updated
01/30/2023
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