Organization
AUTISM SPECTRUM SUPPORT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CHULJOO RHEE (EXECUTIVE DIRECTOR)
(888) 725-7087
Entity
Organization
Contact information
Practice address
333 CITY BLVD W FL 17, ORANGE, CA 92868-5905
(888) 725-7087
Mailing address
333 CITY BLVD W FL 17, ORANGE, CA 92868-5905
(888) 725-7087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
08/13/2021
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