Provider Demographics
NPI:1003073156
Name:AEFCT
Entity Type:Organization
Organization Name:AEFCT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VUONG (MARYANN)
Authorized Official - Middle Name:M
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:858-569-0056
Mailing Address - Street 1:4669 MURPHY CANYON RD STE 212
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4333
Mailing Address - Country:US
Mailing Address - Phone:858-569-0056
Mailing Address - Fax:858-569-4233
Practice Address - Street 1:4669 MURPHY CANYON RD STE 212
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4333
Practice Address - Country:US
Practice Address - Phone:858-569-0056
Practice Address - Fax:858-569-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1588803696OtherNPI
CA1609384064OtherNPI
CA1639508179OtherNPI
CA1003073156OtherAEFCT NPI#
CA1194233569OtherNPI
CA1104208438OtherNPI
CA1730328840OtherNPI