Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Autistic Spectrum Independence Center- B.a.s.i.c.

Organization Clinical Neuropsychologist · NPI 1750783890

Beacon Autistic Spectrum Independence Center- B.a.s.i.c. is a Clinical Neuropsychologist in LA Palma, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

24 Centerpointe Dr
LA Palma, CA 90623-1028
Phone: (714) 288-4200
Fax: (714) 707-4316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence PSY12076 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY12076 (CA)

Record details

NPI number1750783890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Lang — Ceo · (714) 288-4200
NPI enumeratedSeptember 19, 2014
Last updated in NPPESSeptember 19, 2014
Mailing address24 Centerpointe Dr, La Palma, CA 90623-1028

Other providers in LA Palma