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Contact Information

EDUCATIONAL THERAPY ASSESSMENT & SERVICES
34590 COUNTY LINE RD
SUITE 7
YUCAIPA, CA92399-5303
 Phone: 909-795-4255
 Fax: 909-795-4438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EDUCATIONAL THERAPY ASSESSMENT & SERVICES

NPI Number 1073819777
LBN Legal business name EDUCATIONAL THERAPY ASSESSMENT & SERVICES
Authorized official DOREEN SPEARMAN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2011
Last updated 01/28/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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