INCLUDE AUTISM, INC.


Address: 625 Pennsylvania Ave, San Diego, CA 92103-4321
Phone: 8586039835

INCLUDE AUTISM, INC. (NPI# 1093041600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093041600
Entity Type Organization
Organization Name INCLUDE AUTISM, INC.
Practice Address 625 Pennsylvania Ave
San Diego
CA 92103-4321
Mailing Address Po Box 720072
San Diego
CA 92172-0072
Practice Telephone 8586039835
Practice Fax Number 6192552739
Mailing Telephone 8586039835
Mailing Fax Number 6192552739
Enumeration Date 2009-11-02
Last Update Date 2018-04-24
Authorized Official Name TINA WATERS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8586039835
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services Agencies
Y 251S00000X Community/Behavioral Health Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
15318 Pomerado Rd, Poway, CA 920642436 8586034812

Office Location

Street Address 625 PENNSYLVANIA AVE
City SAN DIEGO
State CA
Zip Code 92103-4321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023671898 Diana Velasquez Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-04-17
1396308128 Rowen Kamfiroozie Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-04-17
1740843648 Alessandro Navarro Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-04-16
1487116851 Alejandro Cazessus Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-04-03
1427518125 Makenzie Green Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-03-20
1609332741 Laura Fleming Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-02-13
1629534037 Bayron Deraz Rivera Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-02-11
1467925537 Sarah Tracey Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-01-10
1952874513 Briana Renze Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2019-01-07
1790253649 Chun Hang Siu Behavior Technician 625 Pennsylvania Ave, San Diego, CA 92103-4321 2018-11-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
Find all providers in zip 92103

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1790390359 Institute of Behavioral Sciences and Technology Family Counseling Community/Behavioral Health 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 2020-09-10
1902426018 Clayton Counseling Licensed Clinical Social Worker Inc. Community/Behavioral Health 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 2020-04-17
1679113765 Kristina Copley Marriage and Family Therapy, Inc Community/Behavioral Health 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 2020-01-07
1417598319 Open Heart Leaders Community/Behavioral Health 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 2019-10-01
1710531405 Katherine Raftery Community/Behavioral Health 3570 Granada Ave, San Diego, CA 92104-4145 2019-07-31
1063064509 Abigail Frances Swan Community/Behavioral Health 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 2019-07-15
1548726862 Unscripted Learning Community/Behavioral Health 3717 India St, San Diego, CA 92103-3727 2019-02-11
1356806509 Vista Hill Foundation Community/Behavioral Health 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 2019-02-01
1891275707 Kelley Kozlowski Community/Behavioral Health 4804 Iroquois Ave, San Diego, CA 92117-6248 2018-08-20
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92103

Improve Information

Please comment or provide details below to improve the information on INCLUDE AUTISM, INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches