Provider Demographics
NPI:1215208921
Name:PEOPLE'S CARE AUTISM SERVICES, INC.
Entity Type:Organization
Organization Name:PEOPLE'S CARE AUTISM SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:909-287-3557
Mailing Address - Street 1:13920 CITY CENTER DR STE 290
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5444
Mailing Address - Country:US
Mailing Address - Phone:909-287-3557
Mailing Address - Fax:909-342-6641
Practice Address - Street 1:13901 AMARGOSA RD STE 2
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2409
Practice Address - Country:US
Practice Address - Phone:909-287-3557
Practice Address - Fax:909-342-6641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLE'S CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-10-6857251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health