Provider Demographics
NPI:1679858203
Name:AUTISM INTERVENTIONS AND RESOURCES, INC.
Entity Type:Organization
Organization Name:AUTISM INTERVENTIONS AND RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANAHITA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:949-457-9203
Mailing Address - Street 1:23241 SOUTH POINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1367
Mailing Address - Country:US
Mailing Address - Phone:949-457-9203
Mailing Address - Fax:949-457-9213
Practice Address - Street 1:23241 SOUTH POINTE DRIVE
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1367
Practice Address - Country:US
Practice Address - Phone:949-457-9203
Practice Address - Fax:949-457-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency