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Organization
VIDA FOR AUTISM, LLC
Active
Organization
VIDA FOR AUTISM, LLC
Active
Parent organization
VIDA FOR AUTISM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDA FOR AUTISM, LLC
Authorized official
EDWIN ALBERTO CRUZ BCBA (OWNER)
(323) 388-6178
Entity
Organization
Contact information
Practice address
5250 LANKERSHIM BLVD STE 500, NORTH HOLLYWOOD, CA 91601-3187
(818) 350-3839
Mailing address
5250 LANKERSHIM BLVD STE 500, NORTH HOLLYWOOD, CA 91601-3187
(818) 350-3839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
02/16/2019
Last updated
02/05/2025
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