Healthcare Provider Details

I. General information

NPI: 1508178286
Provider Name (Legal Business Name): COMPREHENSIVE AUTISM RELATED EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15315 MAGNOLIA BLVD STE 306
SHERMAN OAKS CA
91403-1172
US

IV. Provider business mailing address

15315 MAGNOLIA BLVD STE 306
SHERMAN OAKS CA
91403-1172
US

V. Phone/Fax

Practice location:
  • Phone: 888-353-8285
  • Fax: 877-805-3084
Mailing address:
  • Phone: 888-353-8285
  • Fax: 877-805-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. YUE LI
Title or Position: PRESIDENT/CEO
Credential: M.S. BCBA
Phone: 888-353-8285