Organization
BEHAVIOR ONE AUTISM SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BURG (CEO)
(657) 294-5113
Entity
Organization
Contact information
Practice address
17842 IRVINE BLVD STE B112, TUSTIN, CA 92780-3203
(657) 294-5113
(657) 294-5114
Mailing address
17842 IRVINE BLVD STE B112, TUSTIN, CA 92780-3203
(657) 294-5113
(657) 294-5114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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