Organization
AUTISM 360 SUPPORT LLC
Active
Organization
AUTISM 360 SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN JENNY SLATON LCSW (OWNER)
(562) 361-8578
Entity
Organization
Contact information
Practice address
5762 BOLSA AVE STE 107, HUNTINGTON BEACH, CA 92649-1172
(562) 361-8578
Mailing address
11278 LOS ALAMITOS BLVD # 106, LOS ALAMITOS, CA 90720-3958
(562) 396-5896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
01/26/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up