CENTER FOR LEARNING AND AUTISM SUPPORT SERVICES, INC. (NPI# 1417139288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417139288 |
| Entity Type | Organization |
| Organization Name | CENTER FOR LEARNING AND AUTISM SUPPORT SERVICES, INC. |
| Other Organization Name | CLASS |
| Practice Address |
424 Peninsula Ave San Mateo CA 94401-1653 |
| Practice Telephone | 6502864396 |
| Practice Fax Number | 6502864397 |
| Mailing Telephone | 6502864396 |
| Mailing Fax Number | 6502864397 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MR. ROSS BERMAN (OPERATIONS OFFICER) |
| Authorized Official Telephone | 6502864396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 21282 | CA | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | TAXONOMY | CA | Agencies |
| N | 251S00000X | Community/Behavioral Health | 1A-41-043 | CA | Agencies |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CA | Residential Treatment Facilities | |
| Y | 252Y00000X | Early Intervention Provider Agency | 1A-41-043 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPA CERT | 1A-41-043 | 01 |
| Other Name | Type Code |
|---|---|
| CLASS | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CENTER FOR LEARNING AND AUTISM SUPPORT SERVICES, INC. | 424 Peninsula Avenue, San Mateo, CA 94401 |
| Street Address |
424 PENINSULA AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639016 | Neha Kumar | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-06 |
| 1326649591 | Leo Aldair Maldonado-canales | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-04 |
| 1891396149 | Siyun Deng | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-11-03 |
| 1013517697 | Marisa Dawn Shaff | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-31 |
| 1760082804 | Ritchelle Jesse Andal | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-28 |
| 1285232413 | Seran Kwon | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-09 |
| 1235736034 | Albert Richard Yee | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-10-05 |
| 1275140493 | Viridiana G. Sanchez Bueno | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-09-30 |
| 1295342483 | Stephen Costakis | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-09-30 |
| 1821604406 | Yaneth Rosas | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2020-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709177 | Rising Star Preschool | Early Intervention Provider Agency | 3040 Fairmount Ave, San Diego, CA 92105-4639 | 2020-10-27 |
| 1629677141 | Am Early Intervention | Early Intervention Provider Agency | 653 N Cahuenga Blvd, Los Angeles, CA 90004-1103 | 2020-10-26 |
| 1225663644 | Anchobehavioralhealth | Early Intervention Provider Agency | 3356 Michael Dr, Marina, CA 93933-2314 | 2020-03-05 |
| 1780218966 | Aruni Ganewatte | Early Intervention Provider Agency | 4685 Via Del Rancho, Thousand Oaks, CA 91320-6745 | 2020-02-26 |
| 1275172579 | Carousel Developmental Service | Early Intervention Provider Agency | 300 S Park Ave Ste 804, Pomona, CA 91766-1559 | 2020-01-03 |
| 1982251468 | Brittany Mccabe | Early Intervention Provider Agency | 17447 Burma St, Encino, CA 91316-1336 | 2019-08-20 |
| 1942852900 | Plumas County Alcohol and Drug | Early Intervention Provider Agency | 270 County Hospital Rd Ste 127, Quincy, CA 95971-9174 | 2019-07-10 |
| 1467012831 | Daniela Wilmes | Early Intervention Provider Agency | 2774 Pine Creek Cir, Fullerton, CA 92835-2931 | 2019-06-18 |
| 1811550007 | Clinical Behavior LLC | Early Intervention Provider Agency | 5947 W Elowin Dr, Visalia, CA 93291-9222 | 2019-04-15 |
| 1720542830 | Familycare Behavioral Services | Early Intervention Provider Agency | 5669 Snell Ave # 451, San Jose, CA 95123-3328 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.