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Organization
BEACON AUTISTIC SPECTRUM INDEPENDENCE CENTER, INC.
Active
Organization
BEACON AUTISTIC SPECTRUM INDEPENDENCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY G AVALOS BCBA (CLINICAL CASE SUPERVISOR)
(714) 288-4200
Entity
Organization
Contact information
Practice address
24 CENTERPOINTE DR, LA PALMA, CA 90623-1028
(714) 288-4200
Mailing address
24 CENTERPOINTE DR, LA PALMA, CA 90623-1028
(714) 288-4200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13919
BEHAVIOR ANALYST CERTIFICATION BOARD
CA
Enumeration date
07/25/2014
Last updated
09/19/2014
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