Healthcare Provider Details

I. General information

NPI: 1871452771
Provider Name (Legal Business Name): AAA SPECIAL NEED SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S GRAND AVE
GLENDORA CA
91740-5013
US

IV. Provider business mailing address

1822 E ROUTE 66 # 317
GLENDORA CA
91740-3801
US

V. Phone/Fax

Practice location:
  • Phone: 626-622-6011
  • Fax:
Mailing address:
  • Phone: 626-622-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SUSIE LEE
Title or Position: CEO
Credential:
Phone: 626-622-6011