Organization
AUTISM THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JON ROBERTS MA, LBA, BCBA (FOUNDER)
(206) 889-0075
Entity
Organization
Contact information
Practice address
2271 W MALVERN AVE STE 428, FULLERTON, CA 92833-2106
(206) 889-0075
Mailing address
2271 W MALVERN AVE STE 428, FULLERTON, CA 92833-2106
(206) 889-0075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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