NPI 1750964862 · live from the CMS NPI Registry
Ad Astra Behavior Analytic Services
Behavior Analyst in La Palma, CA. National Provider Identifier 1750964862, active.
NPI record
| NPI | 1750964862 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6 Centerpoint Drive Suite 700, La Palma, CA 92845 |
| Practice phone | 657-233-1804 |
| Mailing address | 2093 Philadelphia Pike # 9173, Claymont, DE 19703 |
| Enumerated | May 5, 2021 |
| Last updated | May 26, 2021 |
| Authorized official | Alfredo Montiel, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.