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Organization
THE ADAPTIVE ATHLETE, INC.
Active
Organization
THE ADAPTIVE ATHLETE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J WEIDNER (PRESIDENT)
(909) 841-8960
Entity
Organization
Contact information
Practice address
2028 W 11TH ST, UPLAND, CA 91786-3509
(909) 931-2764
Mailing address
2028 W 11TH ST, UPLAND, CA 91786-3509
(909) 931-2764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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