Organization
CHILDRENS LEARNING CONNECTION, LLC
Active
Other names
Children's Learning Connection, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WINTER (CHEIF EXECUTIVE OFFICER)
(818) 241-6780
Entity
Organization
Contact information
Practice address
5312 BOLSA AVE., STE. # 105, HUNTINGTON BEACH, CA 92649
(818) 241-6780
(818) 241-6853
Mailing address
505 N. BRAND BLVD, SUITE 1000, GLENDALE, CA 91203
(855) 295-3276
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5375
CA
103K00000X
Behavior Analyst
BCBA 1-03-1209
CA
103K00000X
Behavior Analyst
BCBA 1-07-3352
CA
103K00000X
Behavior Analyst
BCBA 1-09-5316
CA
2251P0200X
Pediatric Physical Therapist
PT 36283
CA
2251P0200X
Pediatric Physical Therapist
PT 37480
CA
225XP0200X
Pediatric Occupational Therapist
OT 11533
CA
225XP0200X
Pediatric Occupational Therapist
OT 8264
CA
235Z00000X
Speech-Language Pathologist
SP 10842
CA
235Z00000X
Speech-Language Pathologist
SP 11693
CA
235Z00000X
Speech-Language Pathologist
SP 14005
CA
235Z00000X
Speech-Language Pathologist
SP 15812
CA
235Z00000X
Speech-Language Pathologist
SP 15824
CA
235Z00000X
Speech-Language Pathologist
Primary
SP12005
CA
Other
Enumeration date
01/09/2007
Last updated
12/07/2018
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