Healthcare Provider Details

I. General information

NPI: 1376014944
Provider Name (Legal Business Name): INCLUSION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 12/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15334 WHITTIER BLVD STE 10C
WHITTIER CA
90603-1363
US

IV. Provider business mailing address

15334 WHITTIER BLVD STE 10C
WHITTIER CA
90603-1363
US

V. Phone/Fax

Practice location:
  • Phone: 562-315-5418
  • Fax:
Mailing address:
  • Phone: 562-315-5418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SABRINA LU EKANAYAKE
Title or Position: DIRECTOR
Credential: ATACP
Phone: 562-665-9538