Organization
BEHAVIOR SUPPORT FOR AUTISM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENESSA TAENGKAEW (ABA SUPERVISOR/DIRECTOR)
(760) 215-1027
Entity
Organization
Contact information
Practice address
1761 HOTEL CIR S STE 111, SAN DIEGO, CA 92108-3318
(760) 215-1027
Mailing address
1761 HOTEL CIR S STE 111, SAN DIEGO, CA 92108-3318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/05/2018
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