Organization
AUTISM AND DEVELOPMENTAL INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI TAVIS M.ED., B.C.B.A. (VICE-PRESIDENT/CFO)
(714) 472-3660
Entity
Organization
Contact information
Practice address
23811 WASHINGTON AVE C110-296, MURRIETA, CA 92562-2267
(714) 472-3660
(951) 304-0390
Mailing address
23811 WASHINGTON AVE C110-296, MURRIETA, CA 92562-2267
(714) 472-3660
(951) 304-0390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2018
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