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INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE NPI 1689031528


NPI Information

NPI: 1689031528
Provider Name: INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1499 S TIPPECANOE AVE BUILDING A
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 799-3777
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INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE is a clinical neuropsychologist in San Bernardino, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE NPI is 1689031528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1499 S TIPPECANOE AVE BUILDING A
SAN BERNARDINO, CA
ZIP 92415-024
Phone: (909) 799-3777
Fax: (909) 799-5999

The provider's authorized official is Zachary Dane Ginder .
The authorized official title is Executive Director and has the following contact phone number (909) 799-3777.

The enumeration date for this NPI number is 1/22/2016 and was last updated on 8/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY15160CALIFORNIANo
2103T00000XPsychologistPSY23181CALIFORNIANo
3103T00000XPsychologistPSY25134CALIFORNIANo
4174400000XSpecialistG46919CALIFORNIANo
5174400000XSpecialistA118211CALIFORNIANo
6174400000XSpecialistA239458CALIFORNIANo
7225X00000XOccupational Therapist2683CALIFORNIANo
8103G00000XClinical NeuropsychologistPSY24993CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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