Behavior Support for Autism INC
NPI #1184199366 in San Diego, California
Provider Information
- NPI Number
- 1184199366
- Entity Type
- Organization
- Organization Name
- Behavior Support for Autism INC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 4, 2018
- Last Updated
- Oct 5, 2018
Practice Location
- Address
- 1761 HOTEL CIR S STE 111
- City
- San Diego
- State
- California
- ZIP Code
- 92108-3318
- Phone
- (760) 215-1027
Authorized Official
- Name
- MRS. JENESSA TAENGKAEW
- Title
- ABA SUPERVISOR/DIRECTOR
- Phone
- (760) 215-1027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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