Organization
COMPREHENSIVE AUTISM CENTER, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MICHELE MACKEN M.A., B.C.B.A. (PRESIDENT)
(951) 813-4034
Entity
Organization
Contact information
Practice address
41951 REMINGTON AVE, STE 210, TEMECULA, CA 92590-2552
(951) 813-4034
Mailing address
40485 MURRIETA HOT SPRINGS RD, B-4, #146, MURRIETA, CA 92563-6436
(951) 813-4034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1052486
CA
Other
Enumeration date
05/20/2008
Last updated
09/26/2012
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