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Organization
APPLIED BEHAVIOR AUTISM CENTER LLC
Active
Organization
APPLIED BEHAVIOR AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMICA MORTON M.S., BCBA, LBA (OWNER)
(916) 869-2416
Entity
Organization
Contact information
Practice address
24081 SANDY GLADE AVE, MORENO VALLEY, CA 92557-5529
(916) 869-2416
(512) 572-8647
Mailing address
5838 TOSCANA TRCE, ROUND ROCK, TX 78665-4402
(916) 869-2416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/08/2020
Last updated
04/17/2020
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