Organization
AUTISM HEROES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. XOCHITL ESTRADA MARROQUIN M.S. (PROGRAM DIRECTOR)
(661) 609-1415
Entity
Organization
Contact information
Practice address
420 BROOKSIDE AVE, REDLANDS, CA 92373-4610
(909) 793-2020
Mailing address
420 BROOKSIDE AVE, REDLANDS, CA 92373-4610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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