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

Inland Empire Autism Spectrum Disorder Assessment Center of Excellence

Organization Clinical Neuropsychologist · NPI 1689031528

Inland Empire Autism Spectrum Disorder Assessment Center of Excellence is a Clinical Neuropsychologist in San Bernardino, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
8
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Practice location Address checks out

1499 S Tippecanoe Ave Bldg A
San Bernardino, CA 92415-0024
Phone: (909) 799-3777
Fax: (909) 799-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19314 Jesse Ln Ste 200, Riverside, CA 92508-5070 — (909) 799-3777

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY24993 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY15160 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY23181 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY25134 (CA)
Specialist Taxonomy 174400000X · Licence G46919 (CA)
Specialist Taxonomy 174400000X · Licence A118211 (CA)
Specialist Taxonomy 174400000X · Licence A239458 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 2683 (CA)

Record details

NPI number1689031528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zachary Ginder — Executive Director · (909) 799-3777
NPI enumeratedJanuary 22, 2016
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address1499 S Tippecanoe Ave Bldg A, San Bernardino, CA 92408-2920

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