Provider Demographics
NPI:1730625773
Name:ALTERNATIVE TEACHING STRATEGY CENTER
Entity type:Organization
Organization Name:ALTERNATIVE TEACHING STRATEGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-224-3629
Mailing Address - Street 1:10640 SCRIPPS RANCH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1095
Mailing Address - Country:US
Mailing Address - Phone:858-224-3629
Mailing Address - Fax:
Practice Address - Street 1:10640 SCRIPPS RANCH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1095
Practice Address - Country:US
Practice Address - Phone:858-224-3629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-15
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
CA1A-37-209251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty