Organization
AUTISM SPECTRUM INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MICHAEL PRIOR MS, LMFT, BCBA (EXECUTIVE CLINICAL DIRECTOR / CEO)
(562) 972-4648
Entity
Organization
Contact information
Practice address
713 W COMMONWEALTH AVE, SUITE C, FULLERTON, CA 92832-1612
(714) 879-4274
(714) 879-2274
Mailing address
713 W COMMONWEALTH AVE, SUITE C, FULLERTON, CA 92832-1612
(714) 879-4274
(714) 879-2274
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MFC 50968
CA
251S00000X
Community/Behavioral Health Agency
Primary
MFC50968
CA
252Y00000X
Early Intervention Provider Agency
BCBA 1-06-3068
CA
Other
Enumeration date
03/18/2012
Last updated
11/15/2016
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