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Organization
AUTISM SPECTRUM INTERVENTIONS
Active
Organization
AUTISM SPECTRUM INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HERNANDEZ (EMPLOYEE)
(714) 905-3628
Entity
Organization
Contact information
Practice address
713 W COMMONWEALTH AVE STE C, FULLERTON, CA 92832-1612
(714) 879-4274
Mailing address
713 W COMMONWEALTH AVE STE C, FULLERTON, CA 92832-1612
(714) 879-4274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/11/2022
Last updated
02/26/2022
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