Organization
INTEGRATED INTERVENTION FOR CHILDREN WITH AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHRISTINA HAUGHT MA CCC-SLP (DIRECTOR)
(408) 621-4008
Entity
Organization
Contact information
Practice address
911 BERN CT, SUITE 130, SAN JOSE, CA 95112-1242
(408) 621-4008
Mailing address
911 BERN CT, SUITE 130, SAN JOSE, CA 95112-1242
(408) 621-4008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9875
CA
Other
Enumeration date
10/24/2012
Last updated
10/05/2016
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