Organization
AEFCT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VUONG (MARYANN) M LE BCBA (EXECUTIVE DIRECTOR)
(858) 569-0056
Entity
Organization
Contact information
Practice address
4669 MURPHY CANYON RD STE 212, SAN DIEGO, CA 92123-4333
(858) 569-0056
(858) 569-4233
Mailing address
4669 MURPHY CANYON RD STE 212, SAN DIEGO, CA 92123-4333
(858) 569-0056
(858) 569-4233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003073156
AEFCT NPI#
CA
01
—
1104208438
NPI
CA
01
—
1194233569
NPI
CA
01
—
1588803696
NPI
CA
01
—
1609384064
NPI
CA
01
—
1639508179
NPI
CA
01
—
1730328840
NPI
CA
Enumeration date
05/16/2008
Last updated
02/05/2019
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