Provider Demographics
NPI:1487029955
Name:HELPING CHILDREN ACHIEVE THERAPIES, LLC
Entity Type:Organization
Organization Name:HELPING CHILDREN ACHIEVE THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDOMO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA; LMFT
Authorized Official - Phone:760-595-3203
Mailing Address - Street 1:905 FIELDBROOK CT
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-3005
Mailing Address - Country:US
Mailing Address - Phone:760-595-3203
Mailing Address - Fax:
Practice Address - Street 1:905 FIELDBROOK CT
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-3005
Practice Address - Country:US
Practice Address - Phone:760-595-3203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-09-5856252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency