Organization
SOCIAL SKILLS TRAINING AND RESOURCES
Active
Organization
SOCIAL SKILLS TRAINING AND RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ASHTON (BCBA)
(831) 224-3811
Entity
Organization
Contact information
Practice address
157 GRAND AVE STE 205, PACIFIC GROVE, CA 93950-2752
(831) 224-3811
Mailing address
121 1/2 FOUNTAIN AVE, PACIFIC GROVE, CA 93950-2714
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003069634
NPI
WA
Enumeration date
08/30/2017
Last updated
08/30/2017
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