Provider Demographics
NPI:1144668427
Name:PROFESSIONAL TUTORS OF AMERICA, INC.
Entity type:Organization
Organization Name:PROFESSIONAL TUTORS OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-784-3429
Mailing Address - Street 1:3350 E. BIRCH STREET
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEA
Mailing Address - State:CA
Mailing Address - Zip Code:92821
Mailing Address - Country:US
Mailing Address - Phone:800-832-2487
Mailing Address - Fax:714-671-1887
Practice Address - Street 1:3350 E. BIRCH STREET
Practice Address - Street 2:SUITE 108
Practice Address - City:BEA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:800-832-2487
Practice Address - Fax:714-671-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty