Provider Demographics
NPI:1811550676
Name:CALIFORNIA ACADEMY ON TRANSITION STUDIES
Entity Type:Organization
Organization Name:CALIFORNIA ACADEMY ON TRANSITION STUDIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-242-2287
Mailing Address - Street 1:14545 VALLEY VIEW AVE STE S
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5230
Mailing Address - Country:US
Mailing Address - Phone:818-242-2287
Mailing Address - Fax:
Practice Address - Street 1:14545 VALLEY VIEW AVE STE S
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-5230
Practice Address - Country:US
Practice Address - Phone:818-242-2287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty