Provider Demographics
NPI:1760826002
Name:ALLIANT INTERNATIONAL UNIVERSITY
Entity Type:Organization
Organization Name:ALLIANT INTERNATIONAL UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-270-3364
Mailing Address - Street 1:1000 S FREMONT AVENUE
Mailing Address - Street 2:UNIT 5
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803
Mailing Address - Country:US
Mailing Address - Phone:626-270-3365
Mailing Address - Fax:626-284-0522
Practice Address - Street 1:1000 S FREMONT AVENUE
Practice Address - Street 2:UNIT 5
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803
Practice Address - Country:US
Practice Address - Phone:626-270-3365
Practice Address - Fax:626-284-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty