Organization
CENTER FOR AUTISM & RELATED DISORDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK MARKS (CONTRACT MANAGER)
(818) 345-2345
Entity
Organization
Contact information
Practice address
1675 18TH AVE # 101, GREELEY, CO 80631-5112
(970) 400-9821
(970) 305-5293
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
11/03/2020
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