Organization
APPLIED BEHAVIOR AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMICA MORTON M.S., BCBA, LBA (OWNER)
(916) 869-2416
Entity
Organization
Contact information
Practice address
24081 SANDY GLADE AVE, MORENO VALLEY, CA 92557-5529
(916) 869-2416
(512) 572-8647
Mailing address
5838 TOSCANA TRCE, ROUND ROCK, TX 78665-4402
(916) 869-2416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/08/2020
Last updated
04/17/2020
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