Provider Demographics
NPI:1316552425
Name:SIERRA ACADEMY OF EXPEDITIONARY LEARNING
Entity Type:Organization
Organization Name:SIERRA ACADEMY OF EXPEDITIONARY LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-268-2200
Mailing Address - Street 1:505 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2218
Mailing Address - Country:US
Mailing Address - Phone:530-268-2200
Mailing Address - Fax:
Practice Address - Street 1:505 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2218
Practice Address - Country:US
Practice Address - Phone:530-268-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)