Basic Information
Provider Information
NPI: 1770820045
EntityType: 2
ReplacementNPI:  
OrganizationName: APPROACH LEARNING AND ASSESSMENT CENTER, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: THERAPEUTIC EDUCATION CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2130 E 4TH ST
Address2:  
City: SANTA ANA
State: CA
PostalCode: 927053818
CountryCode: US
TelephoneNumber: 7145435437
FaxNumber: 7145420493
Practice Location
Address1: 2130 E 4TH ST
Address2:  
City: SANTA ANA
State: CA
PostalCode: 927053818
CountryCode: US
TelephoneNumber: 7145435437
FaxNumber: 7145420493
Other Information
ProviderEnumerationDate: 01/07/2013
LastUpdateDate: 01/07/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: VERLEUR
AuthorizedOfficialFirstName: DONALD
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7145435437
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251V00000X1A-30-194CAY AgenciesVoluntary or Charitable 

No ID Information.


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