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Organization
THERAPEUTIC APPROACH TO GROWTH, INC.
Active
Organization
THERAPEUTIC APPROACH TO GROWTH, INC.
Active
Other names
The Autism Group
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WAGNER MA (CEO)
(858) 689-2027
Entity
Organization
Contact information
Practice address
9466 BLACK MOUNTAIN RD, SUITE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 689-2027
Mailing address
9466 BLACK MOUNTAIN RD, SUITE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 689-2027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16462
CA
225X00000X
Occupational Therapist
6687
CA
235Z00000X
Speech-Language Pathologist
5056
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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