Provider Demographics
NPI:1811460322
Name:ABOVE ALL AUTISM CENTER
Entity type:Organization
Organization Name:ABOVE ALL AUTISM CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:626-560-8367
Mailing Address - Street 1:1601 ANO NUEVO DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2944
Mailing Address - Country:US
Mailing Address - Phone:626-818-6853
Mailing Address - Fax:
Practice Address - Street 1:1601 ANO NUEVO DR
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2944
Practice Address - Country:US
Practice Address - Phone:626-818-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOY STUDIO INTERNATIONAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty