MEDICARE: AAA SPECIAL NEED SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TM1800X	Intellectual & Developmental Disabilities Psychologist
2	103TS0200X	School Psychologist
3	103TC1900X	Counseling Psychologist
4	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1871452771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA SPECIAL NEED SERVICES, INC

Provider Business Mailing Address
First Line	:	1822 E ROUTE 66 # 317
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-3801
Country	:	US
Telephone Number	:	626-622-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 S GRAND AVE
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-5013
Country	:	US
Telephone Number	:	626-622-6011
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUSIE LEE
Credential	:
Telephone Number	:	626-622-6011

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	03/14/2026

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Directions to “AAA SPECIAL NEED SERVICES, INC ” Practice Location

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