Organization
AUTISM & BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOUISA SILANG (CLINICAL DIRECTOR)
(714) 333-5670
Entity
Organization
Contact information
Practice address
864 S CLEMENTINE ST STE A, ANAHEIM, CA 92805-4601
(714) 333-5670
Mailing address
864 S CLEMENTINE ST, ANAHEIM, CA 92805-4601
(714) 333-5670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5222
CA
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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