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Organization
AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC
Active
Organization
AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC
Active
Other names
AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TODD STUCKEY (CFO)
(443) 838-9065
Entity
Organization
Contact information
Practice address
1570 COVE CT, SAN MARCOS, CA 92069-3528
(443) 838-9065
Mailing address
6700 ALEXANDER BELL DR STE 253, COLUMBIA, MD 21046-2122
(443) 838-9065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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