Provider Demographics
NPI:1336926732
Name:AUTISM CENTER
Entity type:Organization
Organization Name:AUTISM CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PARDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRHOUSHMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-325-5621
Mailing Address - Street 1:317 W F ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3205
Mailing Address - Country:US
Mailing Address - Phone:714-325-5621
Mailing Address - Fax:909-391-3068
Practice Address - Street 1:317 W F ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3205
Practice Address - Country:US
Practice Address - Phone:714-325-5621
Practice Address - Fax:909-391-3068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty