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Organization
COMPREHENSIVE AUTISM CENTER
Active
Organization
COMPREHENSIVE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA MACKEN (CEO)
(559) 614-1466
Entity
Organization
Contact information
Practice address
3355 MISSION AVE, OCEANSIDE, CA 92058-1326
(951) 813-4034
Mailing address
3355 MISSION AVE, 221, OCEANSIDE, CA 92057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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