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Organization

AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC

Active
Other names
AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TODD STUCKEY (CFO)
(443) 838-9065
Entity
Organization

Contact information

Practice address
1570 COVE CT, SAN MARCOS, CA 92069-3528
(443) 838-9065
Mailing address
6700 ALEXANDER BELL DR STE 253, COLUMBIA, MD 21046-2122
(443) 838-9065

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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