Organization
COLLEGE LIVING EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA R HOLDING BCBA-D (DIRECTOR)
(949) 270-1233
Entity
Organization
Contact information
Practice address
25 SPECTRUM POINTE DR, SUITE 405, LAKE FOREST, CA 92630-2276
(949) 939-8032
(949) 457-1347
Mailing address
2183 FAIRVIEW RD, SUITE 101, COSTA MESA, CA 92627-5663
(949) 270-1234
(949) 270-1240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0418
CA
Other
Enumeration date
09/10/2010
Last updated
03/09/2012
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