Provider Demographics
NPI:1013425065
Name:INTERVENTION CENTER FOR AUTISM NEEDS
Entity Type:Organization
Organization Name:INTERVENTION CENTER FOR AUTISM NEEDS
Other - Org Name:INTERVENTION CENTER FOR AUTISM NEEDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-930-9550
Mailing Address - Street 1:1704 MIRAMONTE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3718
Mailing Address - Country:US
Mailing Address - Phone:833-222-4226
Mailing Address - Fax:
Practice Address - Street 1:1704 MIRAMONTE AVE STE 3
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3718
Practice Address - Country:US
Practice Address - Phone:833-222-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty