INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE

SAN BERNARDINO, CA
NPI1689031528
Entity TypeOrganization
Authorized ContactZACHARY DANE GINDER
Executive Director
909-799-3777
Organization Subpart ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: CA  PSY24993)
Additional Taxonomies103T00000X Psychologist
(Licence: CA  PSY15160)
103T00000X Psychologist
(Licence: CA  PSY23181)
103T00000X Psychologist
(Licence: CA  PSY25134)
174400000X Specialist
(Licence: CA  G46919)
174400000X Specialist
(Licence: CA  A118211)
174400000X Specialist
(Licence: CA  A239458)
225X00000X Occupational Therapist
(Licence: CA  2683)
Enumeration Date2016-01-22
Last Update Date2023-08-01
Business Address
INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE
1499 S TIPPECANOE AVE BUILDING A
SAN BERNARDINO, CA 92415-0024
Phone number: 909-799-3777
Mailing Address
INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE
1499 S TIPPECANOE AVE BLDG A
SAN BERNARDINO, CA 92408-2920
Phone number: 909-799-3777