Provider Demographics
NPI:1902252000
Name:RIVERSIDE COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:RIVERSIDE COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD IBI MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AWIT
Authorized Official - Middle Name:ARZADON
Authorized Official - Last Name:DALUSONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:951-288-8026
Mailing Address - Street 1:PO BOX 868
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92502-0868
Mailing Address - Country:US
Mailing Address - Phone:951-826-6302
Mailing Address - Fax:951-826-6406
Practice Address - Street 1:3939 13TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3505
Practice Address - Country:US
Practice Address - Phone:951-826-6302
Practice Address - Fax:951-826-6406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-10-7214251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health