Healthcare Provider Details

I. General information

NPI: 1437054442
Provider Name (Legal Business Name): MONTEREY AUTISM SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 JOHNSON ST
MONTEREY CA
93940-2138
US

IV. Provider business mailing address

1033 JOHNSON ST
MONTEREY CA
93940-2138
US

V. Phone/Fax

Practice location:
  • Phone: 661-889-2681
  • Fax:
Mailing address:
  • Phone: 661-889-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID S NABHAN
Title or Position: MANAGING MEMBER
Credential: BCBA
Phone: 661-889-2681