County Office or Practice Name Provider Details Name/Specialty Southern California Contracted Autism Service Providers Los Angeles Behavior Frontiers Aguilar, Ivett 18726 S Western Ave, Ste 408 Gardena, CA, 90248 Autism Service Provider CA License Number Other Languages Spanish National Provider ID 1073989281 Accepting New Patients Yes. Referral may be required. (310) 856-0800 BCBA 1-15-19132 Certification Number Los Angeles ESSC - West Los Angeles Ameripour, Lena 6076 Bristol Pkwy Culver City, CA, 90230 Autism Service Provider CA License Number Other Languages National Provider ID 1912335233 Accepting New Patients No (310) 642-7700 BCBA 1-13-13279 Certification Number Los Angeles Autism Spectrum Therapies Anene-Hillman, Olivia 2550 N Hollywood Way, Ste 102 Burbank, CA, 91505 Autism Service Provider CA License Number Other Languages Nigerian National Provider ID 1437670684 Accepting New Patients Yes. Referral may be required. (866) 727-8274 BCBA 1-17-26280 Certification Number Los Angeles Autism Spectrum Therapies Angulo, Vanessa 500 W 190th St, Ste 220 Gardena, CA, 90248 Autism Service Provider CA License Number Other Languages National Provider ID 1558805150 Accepting New Patients Yes. Referral may be required. (866) 727-8274 BCBA 1-16-24342 Certification Number Los Angeles Autism Learning Partners Anyakwo, Stephanie 741 Glenvia St, Ste 200 Glendale , CA, 91206 Autism Service Provider CA License Number Other Languages National Provider ID 1124406459 Accepting New Patients Yes. Referral may be required. (855) 295-3276 BCBA 1-15-18405 Certification Number Los Angeles Intercare Therapy, Inc. Arguelles, Myesha 4221 Wilshire Blvd Los Angeles, CA, 90010 Autism Service Provider CA License Number Other Languages National Provider ID 1245588003 Accepting New Patients Yes. Referral may be required. (888) 428-3223 BCBA 1-12-11704 Certification Number Monday, February 19, 2018 Page 1 of 70 The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
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County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Aguilar, Ivett
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1073989281
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-15-19132Certification Number
Los Angeles ESSC - West Los Angeles Ameripour, Lena
6076 Bristol Pkwy
Culver City, CA, 90230
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1912335233
Accepting New Patients No
(310) 642-7700
BCBA 1-13-13279Certification Number
Los Angeles Autism Spectrum Therapies Anene-Hillman, Olivia
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages Nigerian
National Provider ID 1437670684
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-26280Certification Number
Los Angeles Autism Spectrum Therapies Angulo, Vanessa
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1558805150
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-24342Certification Number
Los Angeles Autism Learning Partners Anyakwo, Stephanie
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1124406459
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-18405Certification Number
Los Angeles Intercare Therapy, Inc. Arguelles, Myesha
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1245588003
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-12-11704Certification Number
Monday, February 19, 2018 Page 1 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Barrios, Shawna
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1922342534
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-10-7000Certification Number
Los Angeles ESSC - West Los Angeles Barryrodriguez, Kathryn
6076 Bristol Pkwy
Culver City, CA, 90230
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1538423025
Accepting New Patients Yes. Referral may be required.
(310) 642-7700
BCBA 1-12-11634Certification Number
Los Angeles Autism Learning Partners Bartecek (Guillen), Paola
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1710370887
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-10362Certification Number
Los Angeles Autism Spectrum Therapies Bautista, Johannah
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1902338080
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-25253Certification Number
Los Angeles Autism Learning Partners Bautista, Ronald
741 Glenvia St, Ste 200
Glendale , CA, 91207
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821461666
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-23981Certification Number
Los Angeles Autism Learning Partners Berry, Nicholas
741 Glenvia St, Ste 200
Glendale , CA, 91208
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1528475647
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-15248Certification Number
Monday, February 19, 2018 Page 2 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Betsis, Diana
600 W Broadway, Ste 300
Glendale, CA, 91204
Autism Service Provider
CA License Number
Other Languages Russian
National Provider ID 1386926442
Accepting New Patients Yes. Referral may be required.
(818) 638-7480
BCBA 1-11-10435Certification Number
Los Angeles Autism Learning Partners Blum, Caitlin
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1235596768
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-21054Certification Number
Los Angeles Behavior Frontiers Briggson, Sarah
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225411929
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-15-18700Certification Number
Los Angeles Autism Spectrum Therapies Cantero, Kenneth
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1679993547
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-15179Certification Number
Los Angeles Behavior Frontiers Carson, Elizabeth
310 E Palmdale Blvd, Ste G
Palmdale, CA, 93550
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1639487077
Accepting New Patients Yes. Referral may be required.
(661) 480-1440
BCBA 1-17-25680Certification Number
Los Angeles Autism Spectrum Therapies Chambers, Lisa
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1174043723
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-26489Certification Number
Monday, February 19, 2018 Page 3 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles ESSC - Torrance Cheung, Christina
19750 S Vermont Ave
Torrance, CA, 90502
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1386837300
Accepting New Patients Yes. Referral may be required.
(424) 233-3700
BCBA 1-14-16450Certification Number
Los Angeles Intercare Therapy, Inc. Chinniah, Praveena
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1629446281
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-15580Certification Number
Los Angeles ESSC - Santa Fe Springs Cruz, Xochitl
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1386914455
Accepting New Patients Yes. Referral may be required.
(562) 944-2794
BCBA 1-11-8750Certification Number
Los Angeles Behavior Frontiers deDomenico, Rosi
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1649519802
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-04-1866Certification Number
Los Angeles Autism Spectrum Therapies Doan, Dai
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1598136129
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-19876Certification Number
Los Angeles Intercare Therapy, Inc. Dom, Kanhchana
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1013323971
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-16096Certification Number
Monday, February 19, 2018 Page 4 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Dominguez, Samantha
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1962912212
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-17-27586Certification Number
Los Angeles Autism Spectrum Therapies Duong, Vu
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1891204996
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27085Certification Number
Los Angeles Behavior Frontiers Echavarria, Raissa
600 W Broadway, Ste 300
Glendale, CA, 91204
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1659892610
Accepting New Patients Yes. Referral may be required.
(818) 638-7480
BCBA 1-17-26651Certification Number
Los Angeles Intercare Therapy, Inc. Eisenberg, Nathan
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1831530476
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-13-13644Certification Number
Los Angeles Intercare Therapy, Inc. Escobar, Christopher
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1467841056
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-17304Certification Number
Los Angeles ESSC - Pasadena Feezell, Caitlin
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1801338421
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-12-11650Certification Number
Monday, February 19, 2018 Page 5 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Intercare Therapy, Inc. Ferree, Abigail
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1104199066
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-09-5001Certification Number
Los Angeles Autism Learning Partners Finney, Stefanie
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1962768861
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-04-1754Certification Number
Los Angeles Autism Learning Partners Fraines, Elizabeth
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1447697891
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-13-12816Certification Number
Los Angeles Autism Spectrum Therapies Friedman, Courtney
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1033477732
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-12-10326Certification Number
Los Angeles ESSC - Valencia Ganley, Jacqueline
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1336415413
Accepting New Patients No
(661) 222-9901
BCBA 1-07-3534Certification Number
Los Angeles Autism Learning Partners Garcia, Christina
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871017624
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-22054Certification Number
Monday, February 19, 2018 Page 6 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Spectrum Therapies Garcia, Daniel
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1194004184
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-11-8963Certification Number
Los Angeles Behavior Frontiers Garcia, Elizabeth
6355 Topanga Canyon Blvd, Ste 309
Woodland Hills, CA, 91367
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1043673130
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-16-21792Certification Number
Los Angeles ACES Gerona, Anaizah
13017 Artesia Blvd, Ste D134
Cerritos, CA, 90703
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1558870154
Accepting New Patients Yes. Referral may be required.
(562) 760-4429
BCBA 1-17-27647Certification Number
Los Angeles ACES Ghesser, Shirin
17595 Almahurst St, Ste 100A
City of Industry, CA, 91748
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1255759916
Accepting New Patients Yes. Referral may be required.
(626) 344-4434
BCBA 1-14-15106Certification Number
Los Angeles ESSC - Valencia Grubbs, Kristina
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1659706901
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-13-13840Certification Number
Los Angeles ESSC - Pasadena Gudiel, Elizabeth
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306388178
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-14-9529Certification Number
Monday, February 19, 2018 Page 7 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Gudiel, Elizabeth
126 W Olive Ave
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1306388178
Accepting New Patients Yes. Referral may be required.
(626) 239-3060
BCBA 1-14-9529Certification Number
Los Angeles Behavior Frontiers Gummadi, Anusha
6355 Topanga Canyon Blvd, Ste 309
Woodland Hills, CA, 91367
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1205378916
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-14-17839Certification Number
Los Angeles ESSC - Valencia Gummadi, Anusha
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1205378916
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-14-17839Certification Number
Los Angeles ESSC - Santa Fe Springs Guy, Latoyia
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1053607440
Accepting New Patients Yes. Referral may be required.
(562) 944-2794
BCBA 1-11-8356Certification Number
Los Angeles Autism Spectrum Therapies Haupt, Robert
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871876094
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-07-3540Certification Number
Los Angeles Autism Spectrum Therapies Headley, Megan
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1417376138
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-13-12999Certification Number
Monday, February 19, 2018 Page 8 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Learning Partners Hendrix, Anthony
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1679085211
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-27286Certification Number
Los Angeles Behavior Frontiers Hettinger, Heather
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265705123
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-12-10424Certification Number
Los Angeles Autism Spectrum Therapies Hinman, Richelle
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265705776
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-08-4156Certification Number
Los Angeles ESSC - Santa Fe Springs Ho, Kevin
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1003251711
Accepting New Patients Yes. Referral may be required.
(562) 944-2794
BCBA 1-11-9013Certification Number
Los Angeles Intercare Therapy, Inc. Huh, EunJin
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages Korean
National Provider ID 1730628637
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-16-24913Certification Number
Los Angeles Behavior Frontiers Iwamoto, Stacy M
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1427477389
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-14-15381Certification Number
Monday, February 19, 2018 Page 9 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Intercare Therapy, Inc. Izai, Shunsuke
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages Japanese
National Provider ID 1588056428
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-9956Certification Number
Los Angeles Autism Spectrum Therapies Jaimez, Katherine
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1518398379
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-13-14480Certification Number
Los Angeles Autism Learning Partners Johnson, Stephen
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1952669095
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-07-3829Certification Number
Los Angeles Intercare Therapy, Inc. Kalmus, Daryn
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1114290772
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-08-4215Certification Number
Los Angeles Autism Spectrum Therapies Kasimian, Andrea
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1336367366
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-11-8864Certification Number
Los Angeles ESSC - Torrance Kavner, Alyssa
19750 S Vermont Ave
Torrance, CA, 90502
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770859886
Accepting New Patients No
(424) 233-3700
BCBA 1-11-7963Certification Number
Monday, February 19, 2018 Page 10 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles ESSC - Santa Fe Springs Kim, Sohyun
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1568850097
Accepting New Patients Yes. Referral may be required.
(562) 944-2794
BCBA 1-15-18185Certification Number
Los Angeles Autism Spectrum Therapies Kuchuryan, Elvira
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages Armenian
National Provider ID 1821403007
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-16223Certification Number
Los Angeles ACES Lachica, Nathaniel
13017 Artesia Blvd, Ste D134
Cerritos, CA, 90703
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073991386
Accepting New Patients Yes. Referral may be required.
(562) 760-4429
BCBA 1-15-19757Certification Number
Los Angeles The ABRITE Organization Lam, Amy
15478 Ventura Blvd
Sherman Oaks , CA, 91403
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1588021224
Accepting New Patients Yes. Referral may be required.
(844) 322-7483
BCBA 1-15-21187Certification Number
Los Angeles Intercare Therapy, Inc. Lastra, Ana
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1235649682
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-17-27246Certification Number
Los Angeles Autism Spectrum Therapies Lee, Lisa
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages Korean
National Provider ID 1558634485
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-07-3856Certification Number
Monday, February 19, 2018 Page 11 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Learning Partners Leibowitz, Melissa
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1669622965
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-22022Certification Number
Los Angeles Behavior Frontiers Leon Franco, Laura
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1720478506
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-14-17397Certification Number
Los Angeles Autism Spectrum Therapies Linares, Angelica
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1477097004
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-24685Certification Number
Los Angeles Autism Learning Partners Lopez, Tanya
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1063821676
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16753Certification Number
Los Angeles ESSC - Torrance Lotfizadeh, Amin
19750 S Vermont Ave
Torrance, CA, 90502
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1851731855
Accepting New Patients No
(424) 233-3700
BCBA 1-10-7878Certification Number
Los Angeles Intercare Therapy, Inc. Lubniewski, Ashlee
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1528433554
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-15-19812Certification Number
Monday, February 19, 2018 Page 12 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles ESSC - West Los Angeles Lule-Lopez, Mayra P.
6076 Bristol Pkwy
Culver City, CA, 90230
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1679968895
Accepting New Patients Yes. Referral may be required.
(310) 642-7700
BCBA 1-14-9506Certification Number
Los Angeles ESSC - Valencia Lundberg, Amanda
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1497296495
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-14-15306Certification Number
Los Angeles Behavior Frontiers Lykke, Kathy M
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1578954772
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-14-17269Certification Number
Los Angeles Behavior Frontiers Manes, Nikol
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages French, American Sign Language
National Provider ID 1427397330
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-09-5263Certification Number
Los Angeles ESSC - Pasadena Mark, Amber D
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1922540665
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-15-18593Certification Number
Los Angeles Autism Learning Partners Meehan, Christina
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1730474941
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-11-8017Certification Number
Monday, February 19, 2018 Page 13 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Spectrum Therapies Mejia, Aimee
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1548704141
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-24132Certification Number
Los Angeles ESSC - Santa Fe Springs Mekpongsatorn, Solida
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1992053417
Accepting New Patients No
(562) 944-2794
BCBA 1-11-8248Certification Number
Los Angeles Behavior Frontiers Mendez, Amy
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1801320635
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-17-25270Certification Number
Los Angeles ESSC - Valencia Meunitz, Jana
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265801872
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-13-12802Certification Number
Los Angeles Autism Spectrum Therapies Mirabel Robken, Marina
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1518323583
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-20900Certification Number
Los Angeles ESSC - Valencia Montallana, Khrystle Lauren
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1114350873
Accepting New Patients No
(661) 222-9901
BCBA 1-13-14013Certification Number
Monday, February 19, 2018 Page 14 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Moss, Victoria
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1114479722
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-16-23610Certification Number
Los Angeles ESSC - Valencia Nguyen, Sarah
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1801172408
Accepting New Patients No
(661) 222-9901
BCBA 1-11-8651Certification Number
Los Angeles Autism Spectrum Therapies Noble, Lindsey Janclaes
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225558893
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-26190Certification Number
Los Angeles ESSC - Valencia Ortiz, Erika
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821531724
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-14-15223Certification Number
Los Angeles Intercare Therapy, Inc. Pagano, Brittany
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1003354937
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-10461Certification Number
Los Angeles Autism Learning Partners Palm, Robin
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1992061626
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-11-8554Certification Number
Monday, February 19, 2018 Page 15 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Spectrum Therapies Parker, Angela
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1851823934
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-25247Certification Number
Los Angeles Autism Spectrum Therapies Peck, Hayley
2550 N Hollywood Way, Ste 102
Burbank, CA, 91505
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1699040402
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-11-9455Certification Number
Los Angeles ESSC - Valencia Perez, Deisy
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1316489057
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-12-11507Certification Number
Los Angeles Behavior Frontiers Pham, Joanne Dat Xuan
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1164932968
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-17-26741Certification Number
Los Angeles Intercare Therapy, Inc. Pickford, Stephanie
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1144731415
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-17-26944Certification Number
Los Angeles Behavior Frontiers Pilkington, Carrine S
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1831407923
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-09-5051Certification Number
Monday, February 19, 2018 Page 16 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Learning Partners Pogosyan, Zhanna
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1457778565
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-15134Certification Number
Los Angeles Behavior Frontiers Pridonoff, Sarah
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1366861072
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-13-14008Certification Number
Los Angeles The ABRITE Organization Raabe, Ginger
15478 Ventura Blvd
Sherman Oaks , CA, 91403
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1841536596
Accepting New Patients No
(844) 322-7483
BCBA 1-03-1467Certification Number
Los Angeles Autism Learning Partners Ramos, Elaine
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871034975
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-24557Certification Number
Los Angeles Intercare Therapy, Inc. Raymer, Daniel
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1649543299
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-12-10295Certification Number
Los Angeles ESSC - Valencia Rendon, Angelica
27200 Tourney Rd
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1982991493
Accepting New Patients Yes. Referral may be required.
(661) 222-9901
BCBA 1-11-8488Certification Number
Monday, February 19, 2018 Page 17 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Spectrum Therapies Reyes, Anette
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1437668399
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27587Certification Number
Los Angeles Behavior Frontiers Rodriguez, Griselda
600 W Broadway, Ste 300
Glendale, CA, 91204
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1750719852
Accepting New Patients Yes. Referral may be required.
(818) 638-7480
BCBA 1-17-25376Certification Number
Los Angeles Autism Learning Partners Rosas, Erica
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1578979076
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16175Certification Number
Los Angeles Autism Learning Partners Ryan Marcus, Caitlin
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154749018
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-15593Certification Number
Los Angeles Intercare Therapy, Inc. Sablan, Elizabeth
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1609267608
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-9970 Certification Number
Los Angeles ESSC - Pasadena Sanchez, Julie
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1558649343
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-11-8719Certification Number
Monday, February 19, 2018 Page 18 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles ESSC - Pasadena Sandoval, Cindy
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1306103908
Accepting New Patients No
(626) 793-7700
BCBA 1-11-8000Certification Number
Los Angeles ESSC - Pasadena Sasaki, Michele
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1164964854
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-13-13227Certification Number
Los Angeles ESSC - Torrance Silva, Diana
19750 S Vermont Ave
Torrance, CA, 90502
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1982951232
Accepting New Patients No
(424) 233-3700
BCBA 1-12-10068Certification Number
Los Angeles ESSC - Torrance Silvestre, Jimmy
19750 S Vermont Ave
Torrance, CA, 90502
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1952716144
Accepting New Patients Yes. Referral may be required.
(424) 233-3700
BCBA 1-14-16417Certification Number
Los Angeles Intercare Therapy, Inc. Silvestre, Jordana
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154736320
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-16525Certification Number
Los Angeles Autism Spectrum Therapies Sinn (Oki), Erika
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages Japanese
National Provider ID 1902223415
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-15477Certification Number
Monday, February 19, 2018 Page 19 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Learning Partners Snowden, Lysa
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1164795738
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-06-2710Certification Number
Los Angeles Intercare Therapy, Inc. Spector, Darcy
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1962776872
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-09-5073Certification Number
Los Angeles Autism Spectrum Therapies Suen, Teresa
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages Mandarin, Taiwanese
National Provider ID 1043582141
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-11-8768Certification Number
Los Angeles ESSC - Pasadena Sycz Jr, Michael
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1174065700
Accepting New Patients No
(626) 793-7700
BCBA 1-12-10465Certification Number
Los Angeles ESSC - Pasadena Tapuro, Lovely L
50 N Hill Ave
Pasadena, CA, 91106
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1023464575
Accepting New Patients Yes. Referral may be required.
(626) 793-7700
BCBA 1-15-19470Certification Number
Los Angeles Intercare Therapy, Inc. Tate, Sade
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1881018059
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-15-18156Certification Number
Monday, February 19, 2018 Page 20 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Intercare Therapy, Inc. Taylor, Ryan
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1588918502
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-12-12340Certification Number
Los Angeles ESSC - Santa Fe Springs Tilmon, Marlon
13210 Florence Ave
Santa Fe Springs, CA, 90670
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1083098990
Accepting New Patients Yes. Referral may be required.
(562) 944-2794
BCBA 1-14-10254Certification Number
Los Angeles ACES To, Xuyen
17595 Almahurst St, Ste 100A
City of Industry, CA, 91748
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1740730514
Accepting New Patients Yes. Referral may be required.
(626) 344-4434
BCBA 1-16-22952Certification Number
Los Angeles Intercare Therapy, Inc. Tomita, Chisato
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages Japanese
National Provider ID 1861851461
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-15-99999Certification Number
Los Angeles Intercare Therapy, Inc. Torrau, Krystle
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215305073
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-15-18924Certification Number
Los Angeles Autism Learning Partners Tovmasyan, Varsenik
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1164969101
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-24799Certification Number
Monday, February 19, 2018 Page 21 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Intercare Therapy, Inc. Turner, Meagaan
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1184996274
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-11-8838Certification Number
Los Angeles Autism Learning Partners Valencia-Gonzalez, Tatiana
741 Glenvia St, Ste 200
Glendale , CA, 91206
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1164830469
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-26436Certification Number
Los Angeles ACES Vang, May
17595 Almahurst St, Ste 100A
City of Industry, CA, 91748
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265558274
Accepting New Patients Yes. Referral may be required.
(626) 344-4434
BCBA 1-17-25313Certification Number
Los Angeles Behavior Frontiers Vazquez, Melissa
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770016255
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-17-24984Certification Number
Los Angeles Autism Spectrum Therapies Villanueva, Elisha
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1417220815
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-08-4626Certification Number
Los Angeles ESSC - West Los Angeles Walker, Shakisha
6076 Bristol Pkwy
Culver City, CA, 90230
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1295278232
Accepting New Patients Yes. Referral may be required.
(310) 642-7700
BCBA 1-15-17933Certification Number
Monday, February 19, 2018 Page 22 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Autism Learning Partners Watson, Stefany
25115 W Avenue Stanford, Ste A100
Valencia, CA, 91355
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073920591
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16569Certification Number
Los Angeles Intercare Therapy, Inc. Weitzman, Marnie
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1396906632
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-11-8227Certification Number
Los Angeles The ABRITE Organization Welsh, Fernanda
15478 Ventura Blvd
Sherman Oaks , CA, 91403
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1124452719
Accepting New Patients Yes. Referral may be required.
(844) 322-7483
BCBA 1-14-10213Certification Number
Los Angeles Autism Spectrum Therapies Whitfield, Brandon
500 W 190th St, Ste 220
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1669887030
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-16392Certification Number
Los Angeles Behavior Frontiers Winn, Brittney
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1861772949
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-16-22513Certification Number
Los Angeles Behavior Frontiers Wong, Joy
126 W Olive Ave
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1194007054
Accepting New Patients Yes. Referral may be required.
(626) 239-3060
BCBA 1-11-8215Certification Number
Monday, February 19, 2018 Page 23 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Los Angeles Behavior Frontiers Wratschko, Natalie
18726 S Western Ave, Ste 408
Gardena, CA, 90248
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1609271766
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-14-9429Certification Number
Los Angeles Intercare Therapy, Inc. Yaggie, Matthew
4221 Wilshire Blvd
Los Angeles, CA, 90010
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1609284348
Accepting New Patients Yes. Referral may be required.
(888) 428-3223
BCBA 1-14-16612Certification Number
Los Angeles Autism Spectrum Therapies Zheng, Laurel
222 E Huntington Dr, Ste 213
Monrovia, CA, 91016
Autism Service Provider
CA License Number
Other Languages Cantonese
National Provider ID 1285154880
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-26717Certification Number
Orange ESSC - Anaheim Abaqueta, Althea
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1619272853
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-03-1209Certification Number
Orange Autism Learning Partners Aceves, Maricela
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154718336
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-18211Certification Number
Orange Center for Behavioral Sciences, Inc. Achurra, Khiela
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1568994390
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-17-25345Certification Number
Monday, February 19, 2018 Page 24 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Anaya, Albert
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1518397371
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-15043Certification Number
Orange Autism Learning Partners Baker, Danielle
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1245594597
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-10-7154Certification Number
Orange Autism Learning Partners Barnhart, Martina
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1275806507
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-11-8246Certification Number
Orange Behavior Frontiers Bates, Kristal
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1053667352
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-14-15662Certification Number
Orange ACES Braze, Sheree
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073969556
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-16-22106Certification Number
Orange Love 2 Learn Consulting LLC Brooks, Taylor
5762 Bolsa Ave, Ste 101
Huntington Beach, CA, 92649
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1396197034
Accepting New Patients Yes. Referral may be required.
(714) 292-2322
BCBA 1-16-22150Certification Number
Monday, February 19, 2018 Page 25 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners Budd-Reyes, Megan
3111 N Tustin Ave, Ste 100
Orange, CA, 92865
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1629409792
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-13-14401Certification Number
Orange ACES Carl, Scott
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1417212549
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-12-11824Certification Number
Orange ESSC - Anaheim Carrillo, Jennifer L
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1700215217
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-13-13534Certification Number
Orange Center for Behavioral Sciences, Inc. Chan, Justin
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043740251
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-17-29088Certification Number
Orange Behavior Frontiers Chu, Alisa
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1326401928
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-16-21833Certification Number
Orange ACES Collins, Matthew
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1699150904
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-18629Certification Number
Monday, February 19, 2018 Page 26 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Corona-Moreno, Mayra
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Spanish, American Sign Language
National Provider ID 1154704278
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-19002Certification Number
Orange Autism Learning Partners Dinh, Claire Thi
18350 Mt Langley St, Ste 105
Fountain Valley, CA, 92708
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1508254913
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16849Certification Number
Orange ACES Drag, Ashley
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1730520594
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-13934Certification Number
Orange ACES Duarte, Delain
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1053777599
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-20896Certification Number
Orange Autism Learning Partners Duong, Gina Ly
18350 Mt Langley St, Ste 105
Fountain Valley, CA, 92708
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1144730110
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-27501Certification Number
Orange Autism Learning Partners Eckhardt, Brooke
25201 Paseo de Alicia, Ste 110
Laguna Hills, CA, 92653
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1588062483
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16149Certification Number
Monday, February 19, 2018 Page 27 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Encarnacion, Erica
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821475385
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-18127Certification Number
Orange ACES Epp, Jennifer
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1558748467
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-18056Certification Number
Orange Autism Learning Partners Erdelji, Carey
3111 N Tustin Ave, Ste 100
Orange, CA, 92865
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225426638
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-17772Certification Number
Orange Autism Learning Partners Eriksen, Crystal
3111 N Tustin Ave, Ste 100
Orange, CA, 92865
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1053785246
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-19656Certification Number
Orange Love 2 Learn Consulting LLC Espinosa, Eduardo
5762 Bolsa Ave, Ste 101
Huntington Beach, CA, 92649
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1528519808
Accepting New Patients Yes. Referral may be required.
(714) 292-2322
BCBA 1-16-23424Certification Number
Orange ACES Fernandez, Duyen
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821404294
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-16758Certification Number
Monday, February 19, 2018 Page 28 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ESSC - Anaheim Golriz, Amir
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages Farsi
National Provider ID 1427471184
Accepting New Patients No
(714) 922-4453
BCBA 1-13-14858Certification Number
Orange Center for Behavioral Sciences, Inc. Ha, Eric
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Korean
National Provider ID 1376075093
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-17-25594Certification Number
Orange Behavior Frontiers Haggerty, Tara
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1275054249
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-17-26152Certification Number
Orange ACES Hanai, Fatme
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages French, Arabic
National Provider ID 1265776967
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-09-5098Certification Number
Orange Center for Behavioral Sciences, Inc. Haq, Shaji
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1437604071
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA-D 1-16-21644Certification Number
Orange ESSC - Anaheim Hardy, Nichole
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306113295
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-05-2251Certification Number
Monday, February 19, 2018 Page 29 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ESSC - Anaheim Herron, Meghan
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1720520133
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-13-13786Certification Number
Orange Autism Learning Partners Holmes, Kelly
25201 Paseo de Alicia, Ste 110
Laguna Hills, CA, 92653
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689007338
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-13-13996Certification Number
Orange Autism Learning Partners Ilagan, Stephenie
3111 N Tustin Ave, Ste 100
Orange, CA, 92865
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1457581407
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-09-5316Certification Number
Orange Autism Learning Partners Interiano, Cynthia
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1114375136
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21635Certification Number
Orange Autism Spectrum Therapies Jesolva, Michelle
625 The City Drive S, Ste 120
Orange, CA, 92868
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871923946
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-13-14498Certification Number
Orange ESSC - Anaheim Jimenez, Christine
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1386187698
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-13-13640Certification Number
Monday, February 19, 2018 Page 30 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Jung, Lauren
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871912857
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-15672Certification Number
Orange ACES Kerr, Lesli
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1487070702
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-14873Certification Number
Orange ACES Kerr, Sharyn
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1760795959
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-07-3568Certification Number
Orange ACES Kido, Maki
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Japanese
National Provider ID 1710328570
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-13693Certification Number
Orange Autism Learning Partners Kim, Jane
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1174927545
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-16617Certification Number
Orange ACES Kim, Jenny
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Korean
National Provider ID 1336524867
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-18850Certification Number
Monday, February 19, 2018 Page 31 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Lake, Brittany
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1366896052
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-16-21622Certification Number
Orange Autism Learning Partners Landers, Elizabeth
18350 Mt Langley St, Ste 105
Fountain Valley, CA, 92708
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1356777056
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-13-13515Certification Number
Orange ACES Law, Lily
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Cantonese
National Provider ID 1881011021
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-15409Certification Number
Orange Autism Learning Partners Le, Brian
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1538520283
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-21210Certification Number
Orange ACES Le, Carl
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1104161256
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-14045Certification Number
Orange ACES Le, Khanh
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1083072003
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-20697Certification Number
Monday, February 19, 2018 Page 32 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Spectrum Therapies Lewis, Danielle
625 The City Drive S, Ste 120
Orange, CA, 92868
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1831557297
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-21271Certification Number
Orange Center for Behavioral Sciences, Inc. Lin, Jenny
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Mandarin
National Provider ID 1265797005
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-11-8149Certification Number
Orange Behavioral Health Works, Inc Louer, Elizabeth
1301 E Orangewood Ave
Anaheim, CA, 92805
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1548624315
Accepting New Patients Yes. Referral may be required.
(800) 249-1266
BCBA 1-16-21712Certification Number
Orange Autism Spectrum Therapies Luke, Leannne
625 The City Drive S, Ste 120
Orange, CA, 92868
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1881968790
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-12-11875Certification Number
Orange ESSC - Anaheim Mahorney, Brian P
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225328867
Accepting New Patients No
(714) 922-4453
BCBA 1-09-5047Certification Number
Orange ACES Martin, Vanessa
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1245633627
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-16119Certification Number
Monday, February 19, 2018 Page 33 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners Martinez, Melissa
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1780139899
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-19999Certification Number
Orange ESSC - Anaheim Martirez, Anna Lourdes R
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1376835652
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-11-7983Certification Number
Orange Autism Learning Partners Mascelli, Holly
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1710243456
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-11-8225Certification Number
Orange Autism Learning Partners Mason, Rita
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1730614397
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-25523Certification Number
Orange Love 2 Learn Consulting LLC Mattatall, Kimberly
5762 Bolsa Ave, Ste 101
Huntington Beach, CA, 92649
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1992108393
Accepting New Patients Yes. Referral may be required.
(714) 292-2322
BCBA 1-14-9559Certification Number
Orange Autism Learning Partners Mayer, Jon
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073037693
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-26639Certification Number
Monday, February 19, 2018 Page 34 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners McDougal, Tiffany
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1598150369
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-22851Certification Number
Orange Autism Learning Partners McKee, Ronit
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1407248677
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-17274Certification Number
Orange Autism Learning Partners Mendelsohn, Hannah
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225495492
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-20779Certification Number
Orange Autism Learning Partners Mendez, Tiffany
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1962820357
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-15226Certification Number
Orange Autism Learning Partners Meza, Bertha
3111 N Tustin Ave, Ste 100
Orange, CA, 92865
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1891198891
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-9784Certification Number
Orange Behavioral Health Works, Inc Monazzam, Misha
1301 E Orangewood Ave
Anaheim, CA, 92805
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1184172454
Accepting New Patients Yes. Referral may be required.
(800) 249-1266
BCBA 1-15-18527Certification Number
Monday, February 19, 2018 Page 35 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners Morales, Kimberly
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770025462
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21717Certification Number
Orange Center for Behavioral Sciences, Inc. Moreno, Ronald
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1033504493
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-12-12591Certification Number
Orange Behavior Frontiers Munson, Jaimee
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265941199
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-17-26098Certification Number
Orange Autism Learning Partners Namkoong, Mimi
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1346789344
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-23987Certification Number
Orange Behavior Frontiers Neal, Alaina
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1235534983
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-14-9795Certification Number
Orange ACES Nguyen, Linda-mai
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1447523980
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-11-9626Certification Number
Monday, February 19, 2018 Page 36 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Nicholson, Andi
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number 48996
Other Languages
National Provider ID 1558639120
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-10-7756Certification Number
Orange Behavioral Health Works, Inc Ortiz, Alejandra
1301 E Orangewood Ave
Anaheim, CA, 92805
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1457705477
Accepting New Patients Yes. Referral may be required.
(800) 249-1266
BCBA 1-16-21556Certification Number
Orange Autism Learning Partners Padilla, Christine
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1134572118
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-22111Certification Number
Orange Behavioral Health Works, Inc Palmeira, Joseph
1301 E Orangewood Ave
Anaheim, CA, 92805
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1427582675
Accepting New Patients Yes. Referral may be required.
(800) 249-1266
BCBA 1-17-25159Certification Number
Orange Coyne & Associates Education Corp Pappas, Tina
7700 Irvine Center Dr, Ste 220
Irvine, CA, 92618
Autism Service Provider
CA License Number
Other Languages Greek
National Provider ID 1083039580
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-13-14835Certification Number
Orange ACES Park, Candice
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Korean
National Provider ID 1881938520
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-12-12045Certification Number
Monday, February 19, 2018 Page 37 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Park, Mikyung
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Korean, Japanese
National Provider ID 1639537210
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-9888Certification Number
Orange Autism Learning Partners Perazzelli Pittman, Alexandra
18350 Mt Langley St, Ste 105
Fountain Valley, CA, 92708
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1760870174
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-17075Certification Number
Orange Autism Spectrum Therapies Perkins, Jessica
625 The City Drive S, Ste 120
Orange, CA, 92868
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1568915692
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27052Certification Number
Orange ESSC - Anaheim Price, Megan
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1184065948
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-13-13517Certification Number
Orange Autism Learning Partners Promotico, Jacqueline
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1093247033
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-25318Certification Number
Orange ACES Quient, Katherine
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225481286
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-16-22623Certification Number
Monday, February 19, 2018 Page 38 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Randall (Cobo), Jill
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1568706273
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-11-9390Certification Number
Orange ACES Reserva, Melissa
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1275877987
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-11-8872Certification Number
Orange Autism Learning Partners Rincon, Eva
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1912384132
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-18136Certification Number
Orange Autism Learning Partners Robles, Ana
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1336674787
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-25023Certification Number
Orange Autism Spectrum Therapies Rodden, Sara
625 The City Drive S, Ste 120
Orange, CA, 92868
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306202379
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-20553Certification Number
Orange Behavior Frontiers Ruff, Debra
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1619238318
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-11-8122Certification Number
Monday, February 19, 2018 Page 39 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners Ryan, Kathleen
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1861903460
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-27560Certification Number
Orange Center for Behavioral Sciences, Inc. Sahagun, Elisa
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1255863668
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-17-25384Certification Number
Orange Autism Learning Partners Saxena, Chrislyn
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1104192285
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-12-10391Certification Number
Orange ACES Scheer, Stephanie
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1730420282
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-12784Certification Number
Orange Autism Learning Partners Sebastian, Christina
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1780088500
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-9613Certification Number
Orange ACES Seffel, Elizabeth
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1548699549
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-14875Certification Number
Monday, February 19, 2018 Page 40 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ESSC - Anaheim Sheedeh, Shahrzad
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1295277069
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-9-5300Certification Number
Orange Coyne & Associates Education Corp Shields, Lindy
7700 Irvine Center Dr, Ste 220
Irvine, CA, 92618
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1013465293
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-14-9913Certification Number
Orange Autism Learning Partners Sikes, Brittany
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770970394
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-17991Certification Number
Orange Center for Behavioral Sciences, Inc. Silva, Alejandro
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1558801712
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA 1-16-24374Certification Number
Orange ACES Sloterbeek, Leah
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1609110329
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-12-10451Certification Number
Orange Love 2 Learn Consulting LLC Smyth, Michaela
5762 Bolsa Ave, Ste 101
Huntington Beach, CA, 92649
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1245772003
Accepting New Patients Yes. Referral may be required.
(714) 292-2322
BCBA 1-16-22300Certification Number
Monday, February 19, 2018 Page 41 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Autism Learning Partners Solorzano, Cesar
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1376994848
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21534Certification Number
Orange ESSC - Anaheim Stone, Katherine I
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1376085811
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-15-21165Certification Number
Orange ACES Story, Megan
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1417352774
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-9745Certification Number
Orange Autism Learning Partners Stromgren, Rachel
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1730543125
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21805Certification Number
Orange Autism Learning Partners Thompson, Kimberly
18350 Mt Langley St, Ste 105
Fountain Valley, CA, 92708
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1366981755
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-24425Certification Number
Orange Autism Learning Partners Torres, Liezl
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821443961
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21478Certification Number
Monday, February 19, 2018 Page 42 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Tu, Lynn
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Vietnamese
National Provider ID 1336507359
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-21075Certification Number
Orange Center for Behavioral Sciences, Inc. Tu-Battersby, Joyce
17911 Sky Park Cir, Ste E
Irvine, CA, 92614
Autism Service Provider
CA License Number
Other Languages Mandarin
National Provider ID 1831584200
Accepting New Patients Yes. Referral may be required.
(949) 302-1931
BCBA-D 1-04-1580Certification Number
Orange Autism Learning Partners Turner, Ryanne
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043719313
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-28229Certification Number
Orange ACES Urrutia, Jessica
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1750755948
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-15-19655Certification Number
Orange ACES Varon, Emily
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1972847697
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-11-8235Certification Number
Orange ACES Vidal, Courtney
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215271937
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-11-9568Certification Number
Monday, February 19, 2018 Page 43 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange ACES Wagner, Samantha
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1134559966
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-31-14654Certification Number
Orange Coyne & Associates Education Corp Wang, Ning
7700 Irvine Center Dr, Ste 220
Irvine, CA, 92618
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1083123194
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-17-26897Certification Number
Orange ACES Whaley, Brittney
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306238084
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-14-17084Certification Number
Orange Autism Learning Partners Wong, David
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1487184057
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-24612Certification Number
Orange Autism Learning Partners Wulff-Westerheide, Renee
1111 Baker St
Costa Mesa, CA, 92626
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306136635
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-07-3972Certification Number
Orange ESSC - Anaheim Yamagishi, Eriko
2121 S Towne Centre Pl
Anaheim, CA, 92806
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1376893586
Accepting New Patients Yes. Referral may be required.
(714) 922-4453
BCBA 1-12-10024Certification Number
Monday, February 19, 2018 Page 44 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Orange Behavior Frontiers Yanez, Sara
2670 N Main St, Ste 305
Santa Ana, CA, 92705
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1104161454
Accepting New Patients Yes. Referral may be required.
(714) 656-0354
BCBA 1-12-12089Certification Number
Orange Coyne & Associates Education Corp Yang, Amy
7700 Irvine Center Dr, Ste 220
Irvine, CA, 92618
Autism Service Provider
CA License Number
Other Languages Mandarin
National Provider ID 1255749875
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-14-16741Certification Number
Orange ACES Zern, Chandra Abby
16782 Von Karman Ave, Ste 11
Irvine, CA, 92606
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1326117789
Accepting New Patients Yes. Referral may be required.
(949) 833-2237
BCBA 1-13-14097Certification Number
Riverside Autism Spectrum Therapies Abercrombie, Chelsea
28581 Front St
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1487025029
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-19447Certification Number
Riverside Autism Spectrum Therapies Apacible-Mencias, Eunice
28581 Front St
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages Tagalog
National Provider ID 1629471214
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-10298Certification Number
Riverside ESSC - Corona Bateman, Rachel
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1205239662
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-14-9800Certification Number
Monday, February 19, 2018 Page 45 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Riverside ESSC - Corona Beal, Danyelle S
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1245778885
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-14-10166Certification Number
Riverside Behavior Frontiers Bennett, Jocelyn
2155 Chicago Ave, Ste 203
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1275054223
Accepting New Patients Yes. Referral may be required.
(951) 880-0750
BCBA 1-17-26439Certification Number
Riverside ESSC - Corona Bennett, Megan M
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1023435229
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-14-15849Certification Number
Riverside ESSC - Corona Camacho, Stacey
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1346782968
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-15-20520Certification Number
Riverside Coyne & Associates Education Corp Collins, Rebecca
1650 Spruce St, Ste 250
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1477922953
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-15-19043Certification Number
Riverside Coyne & Associates Education Corp Contreras, Karlene
1650 Spruce St, Ste 250
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1053850818
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-17-26218Certification Number
Monday, February 19, 2018 Page 46 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Riverside ESSC - Corona Drew, Danielle
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1942742689
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-14-15790Certification Number
Riverside Autism Spectrum Therapies Fox, Lauren
28581 Front St
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1124489471
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-18761Certification Number
Riverside Behavior Frontiers Garcia, Diana
27349 Jefferson Ave, Ste 204
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1740656768
Accepting New Patients Yes. Referral may be required.
(310) 856-0800
BCBA 1-15-19272Certification Number
Riverside ESSC - Corona Hengstler, Brittany
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1922539832
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-16-24144Certification Number
Riverside Behavior Frontiers Hernandez, Sandy
2155 Chicago Ave, Ste 203
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154750537
Accepting New Patients Yes. Referral may be required.
(951) 880-0750
BCBA 1-13-14689Certification Number
Riverside ESSC - Corona Leach, Cortney
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1447781042
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-16-21630Certification Number
Monday, February 19, 2018 Page 47 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Riverside Autism Spectrum Therapies Lorimer, Trisha
28581 Front St
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306104146
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-20917Certification Number
Riverside ESSC - Corona Martinez, Gabriel
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1629332499
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-12-11732Certification Number
Riverside Coyne & Associates Education Corp Miramontes, Erika
1650 Spruce St, Ste 250
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154775286
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-16-21716Certification Number
Riverside Autism Spectrum Therapies Pinkernell Waterbury, Brianna
28581 Front St
Temecula, CA, 92590
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043585631
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-08-4095Certification Number
Riverside ESSC - Corona Pino Balandran, Crystal
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1669769196
Accepting New Patients No
(951) 817-5328
BCBA 1-11-9012Certification Number
Riverside Behavior Frontiers Rivera, Anna
2155 Chicago Ave, Ste 203
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1013468453
Accepting New Patients Yes. Referral may be required.
(951) 880-0750
BCBA 1-14-17373Certification Number
Monday, February 19, 2018 Page 48 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Riverside Coyne & Associates Education Corp Rodriguez, Kristine
1650 Spruce St, Ste 250
Riverside, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1154695062
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-11-18993Certification Number
Riverside ESSC - Corona Tisdale, Nicole
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1164712758
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-9-5703Certification Number
Riverside ESSC - Corona Wanapun, Preeyavata
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689955668
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-6-2767Certification Number
Riverside ESSC - Corona Yarbrough, Aleicia
255 E Rincon St, Ste 219
Corona, CA, 92879
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1346674694
Accepting New Patients Yes. Referral may be required.
(951) 817-5328
BCBA 1-13-13482Certification Number
San Bernardino Autism Spectrum Therapies Abercrombie, Chelsea
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1487025029
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-19447Certification Number
San Bernardino Autism Learning Partners Abesamis, Timothy
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1811420748
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-25646Certification Number
Monday, February 19, 2018 Page 49 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Bernardino ESSC - Rancho Cucamonga Acevedo, Danielle
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1093103897
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-14-17804Certification Number
San Bernardino Autism Learning Partners Alvarado, Rosalia
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215447289
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-27820Certification Number
San Bernardino Autism Spectrum Therapies Apacible-Mencias, Eunice
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages Tagalog
National Provider ID 1629471214
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-10298Certification Number
San Bernardino ESSC - Rancho Cucamonga Benbow, Alaina
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1265946412
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-17-26832Certification Number
San Bernardino Autism Learning Partners Buenrostro, Denise
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1548410673
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-13-14449Certification Number
San Bernardino Autism Learning Partners Crouch, Christal
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1568901684
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-17797Certification Number
Monday, February 19, 2018 Page 50 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Bernardino Autism Spectrum Therapies Do, Lisa
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689105389
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-24549Certification Number
San Bernardino Autism Spectrum Therapies Duinkerken, Arielle
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073989190
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-28860Certification Number
San Bernardino Autism Spectrum Therapies Enriquez, Edith
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689027906
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-26792Certification Number
San Bernardino ESSC - Rancho Cucamonga Fant, William
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043556160
Accepting New Patients No
(909) 476-5747
BCBA 1-12-12554Certification Number
San Bernardino Autism Spectrum Therapies Fox, Lauren
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1124489471
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-18761Certification Number
San Bernardino Autism Learning Partners Grajeda, Dolores
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1952673154
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-14-17019Certification Number
Monday, February 19, 2018 Page 51 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Bernardino ESSC - Rancho Cucamonga Henry, Kristine
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1659814218
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-14-15833Certification Number
San Bernardino Autism Spectrum Therapies Lorimer, Trisha
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306104146
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-20917Certification Number
San Bernardino Autism Learning Partners Lucatero, Crystal
1801 S Excise Ave
Ontario, CA, 91761
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1235426115
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-16-21883Certification Number
San Bernardino ESSC - Rancho Cucamonga Magana Ortiz, Carina
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1902348501
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-15-18893Certification Number
San Bernardino Autism Spectrum Therapies Munoz, Vanessa
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1871956128
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-21401Certification Number
San Bernardino ESSC - Rancho Cucamonga Peters, Danielle
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1922540533
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-15-18464Certification Number
Monday, February 19, 2018 Page 52 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Bernardino ESSC - Rancho Cucamonga Peters, Michael
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1023551918
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-14-16953Certification Number
San Bernardino Autism Spectrum Therapies Pinkernell Waterbury, Brianna
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043585631
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-08-4095Certification Number
San Bernardino ESSC - Rancho Cucamonga Rangel, Rebecca C
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1902097702
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-12-10319Certification Number
San Bernardino ESSC - Rancho Cucamonga Resendez, Maridith
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1205181195
Accepting New Patients No
(909) 476-5747
BCBA 1-13-12772Certification Number
San Bernardino ESSC - Rancho Cucamonga Sager, Amy
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1528500246
Accepting New Patients No
(909) 476-5747
BCBA 1-13-14565Certification Number
San Bernardino Autism Spectrum Therapies Thomas, Benjamin
337 N Vineyard Ave, Ste 301
Ontario, CA, 91764
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1588937593
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-07-3693Certification Number
Monday, February 19, 2018 Page 53 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Bernardino ESSC - Rancho Cucamonga Titsworth, Tabatha
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1518308212
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-13-14090Certification Number
San Bernardino ESSC - Rancho Cucamonga Wells, Sheritta
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1093258287
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-16-21999Certification Number
San Bernardino ESSC - Rancho Cucamonga York, Wendy
10604 Trademark Pkwy
Rancho Cucamonga, CA, 91730
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770026668
Accepting New Patients Yes. Referral may be required.
(909) 476-5747
BCBA 1-14-17162Certification Number
San Diego Autism Spectrum Therapies Anderson, Adriana
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1235648353
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27764Certification Number
San Diego ACES Ascolese, Nicholas
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1497903926
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-12-12702Certification Number
San Diego Coyne & Associates Education Corp Barrett, Ashley
3550 Camino del Rio N, Ste 104
San Diego, CA, 92108
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1619272473
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-16-24637Certification Number
Monday, February 19, 2018 Page 54 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ESSC - San Diego Boyar, Kristen
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1033419114
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-12-11728Certification Number
San Diego ESSC - San Diego Carmichael, Nina
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1326301110
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-13-13918Certification Number
San Diego ACES Coleman, Meghan
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1851624761
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-13-13826Certification Number
San Diego ESSC - San Diego Conway, Shawna
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1972960151
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-15-21238Certification Number
San Diego Autism Spectrum Therapies Crowley, Meghan
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1881095529
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-16713Certification Number
San Diego Autism Spectrum Therapies Dale, Patrick
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1851774541
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-18959Certification Number
Monday, February 19, 2018 Page 55 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Autism Spectrum Therapies Daneshvar, Sabrina
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1952673931
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-04-1563Certification Number
San Diego ESSC - San Diego Dengerink, Kathleen
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1538602404
Accepting New Patients No
(858) 505-9083
BCBA 1-13-13403Certification Number
San Diego ACES Detwiler, Amy
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1144564824
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-14-15989Certification Number
San Diego Coyne & Associates Education Corp Dewante, Stephanie
3550 Camino del Rio N, Ste 104
San Diego, CA, 92507
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306385869
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-17-26018Certification Number
San Diego ACES Donaldson, Nicole
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1477944999
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-14-17521Certification Number
San Diego ACES Dyke, Jennifer
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1407230832
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-18649Certification Number
Monday, February 19, 2018 Page 56 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ESSC - San Diego Eilers, Heidi J
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1649413980
Accepting New Patients No
(858) 505-9083
BCBA 1-04-1965Certification Number
San Diego ESSC - San Diego Enloe, Kimberley
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1811439268
Accepting New Patients No
(858) 505-9083
BCBA 1-12-12541Certification Number
San Diego Behavior Frontiers Eugene, Lessie
8555 Aero Dr, Ste 201
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages French
National Provider ID 1699147405
Accepting New Patients Yes. Referral may be required.
(858) 224-5180
BCBA 1-15-19717Certification Number
San Diego ACES Feldhaus, Layla
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1912241647
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-05-2573Certification Number
San Diego Coyne & Associates Education Corp Fukushima, Nancy
3550 Camino del Rio N, Ste 104
San Diego, CA, 92108
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1306107412
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-11-8884Certification Number
San Diego ACES Gaughran, Lindsay
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225415391
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-18329Certification Number
Monday, February 19, 2018 Page 57 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ESSC - San Diego Gordon, Robert
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1649699273
Accepting New Patients No
(858) 505-9083
BCBA 1-13-14233Certification Number
San Diego ESSC - San Diego Greene, Janelle N
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1295277887
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-13-13689Certification Number
San Diego ESSC - San Diego Harris, Vanessa
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821430760
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-14-10310Certification Number
San Diego ESSC - San Diego Harrison, Meghan
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1902349897
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-13-14267Certification Number
San Diego Autism Spectrum Therapies Henig, Donna
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages Hebrew
National Provider ID 1134526478
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-16906Certification Number
San Diego Autism Spectrum Therapies Johnstone, Amanda
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1932583754
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-18683Certification Number
Monday, February 19, 2018 Page 58 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Autism Spectrum Therapies Junker, Melissa
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1497009047
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-10200Certification Number
San Diego ACES Kampff, Lauren
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1720323058
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-19438Certification Number
San Diego ACES King, Candice
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043554751
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-12-12400Certification Number
San Diego Autism Spectrum Therapies King, Kari
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215366166
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-17155Certification Number
San Diego ESSC - San Diego Kirk, Ryan
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689074106
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-14-16165Certification Number
San Diego ACES Lalime, Shaun
2928 Jefferson St, Ste 100A
Carlsbad, CA, 92008
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1649791344
Accepting New Patients Yes. Referral may be required.
(760) 637-9996
BCBA 1-17-26086Certification Number
Monday, February 19, 2018 Page 59 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ACES Lapin, Carly
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1720486681
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-18245Certification Number
San Diego Coyne & Associates Education Corp Lee, Kara
3550 Camino del Rio N, Ste 104
San Diego, CA, 92108
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1457612152
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-05-2541Certification Number
San Diego Autism Spectrum Therapies Lincoln, Shawna
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1710360417
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-18995Certification Number
San Diego Autism Spectrum Therapies Link, Heather
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1740544485
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-12-11810Certification Number
San Diego Autism Spectrum Therapies Lund, Christina
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1508176314
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-25064Certification Number
San Diego ACES Lundbohm, Kristin Erica
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1003150509
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-12-10099Certification Number
Monday, February 19, 2018 Page 60 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Coyne & Associates Education Corp Ly, Linh
3550 Camino del Rio N, Ste 104
San Diego, CA, 92108
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1043551575
Accepting New Patients Yes. Referral may be required.
(760) 634-1125
BCBA 1-13-13304Certification Number
San Diego ESSC - San Diego Macabasco, Kevin
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1790168730
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-15-18665Certification Number
San Diego ACES Maloney, Jeffrey
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number 11099
Other Languages
National Provider ID 1578631230
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-11-9306Certification Number
San Diego ACES Manikowski, Wendy
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1972934149
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-13-14397Certification Number
San Diego ACES Marquez, Ivette
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073986816
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-19968Certification Number
San Diego ACES Mazi, Alejandra
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1235674250
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-16-24915Certification Number
Monday, February 19, 2018 Page 61 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ESSC - San Diego McBeth, Ashley A
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1962775981
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-11-9638Certification Number
San Diego ESSC - San Diego McCleary, Melissa
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1700317435
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-16-21736Certification Number
San Diego Behavior Frontiers Mckenzie, Colleen
8555 Aero Dr, Ste 201
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1114315538
Accepting New Patients Yes. Referral may be required.
(858) 224-5180
BCBA 1-14-16205Certification Number
San Diego ESSC - San Diego Miracle, Juliet
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1750634929
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-12-12182Certification Number
San Diego ACES Mitchell, Lauren
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1578955613
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-14-17148Certification Number
San Diego Autism Spectrum Therapies Montanez, Jena
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1821507955
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27229Certification Number
Monday, February 19, 2018 Page 62 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ESSC - San Diego Moore, Jessica
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1912360793
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-13-12809Certification Number
San Diego Autism Spectrum Therapies Murdoch, Juliet
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1578072799
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27247Certification Number
San Diego Autism Learning Partners Newidouski, Haleigh
5820 Oberlin Dr, Ste 111
San Diego, CA, 92121
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1093193328
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-18137Certification Number
San Diego ACES Ontiveros, Roanna
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1871953869
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-20636Certification Number
San Diego Autism Learning Partners Pena, Kimberly
5820 Oberlin Dr, Ste 111
San Diego, CA, 92121
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1629210794
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-15-18814Certification Number
San Diego Autism Learning Partners Peters, Marsea
5820 Oberlin Dr, Ste 111
San Diego, CA, 92121
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1457652463
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-10-7779Certification Number
Monday, February 19, 2018 Page 63 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Autism Spectrum Therapies Ploesch, Richard
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1447523824
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-09-6316Certification Number
San Diego Autism Spectrum Therapies Pohlson, Lindsey
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1891204756
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-17-27714Certification Number
San Diego ACES Portillo, Raquel
264 Landis Ave, Ste 200
Chula Vista, CA, 91910
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1790294478
Accepting New Patients Yes. Referral may be required.
(619) 977-6851
BCBA 1-17-27777Certification Number
San Diego ACES Reichwein, Lisa
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215475009
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-16-24794Certification Number
San Diego Autism Spectrum Therapies Roberts, Elizabeth
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1487929287
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-12-10321Certification Number
San Diego ESSC - San Diego Savage, Melanie
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1619220936
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-12-12329Certification Number
Monday, February 19, 2018 Page 64 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Autism Spectrum Therapies Schardt, Joanna
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1083158687
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-16-24442Certification Number
San Diego ESSC - San Diego Shaw, Mariel
9620 Chesapeake Dr
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1881014884
Accepting New Patients Yes. Referral may be required.
(858) 505-9083
BCBA 1-14-15342Certification Number
San Diego ACES Smith, Christie
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1104223577
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-14-9427Certification Number
San Diego ACES Spears, Christina
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1447610902
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-21305Certification Number
San Diego Autism Spectrum Therapies Stone, Michele
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1558634881
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-11-8710Certification Number
San Diego Behavior Frontiers Sulzinger, Julie
8555 Aero Dr, Ste 201
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1730537721
Accepting New Patients Yes. Referral may be required.
(858) 224-5180
BCBA 1-16-21846Certification Number
Monday, February 19, 2018 Page 65 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego Autism Spectrum Therapies Swain, Jazmina
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1144618117
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-14-17031Certification Number
San Diego Autism Learning Partners Torgrimson, Sarah
5820 Oberlin Dr, Ste 111
San Diego, CA, 92121
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1780983346
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-11-9331Certification Number
San Diego Autism Learning Partners Torres, Wendy
5820 Oberlin Dr, Ste 111
San Diego, CA, 92121
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1477074615
Accepting New Patients Yes. Referral may be required.
(855) 295-3276
BCBA 1-17-26480Certification Number
San Diego Autism Spectrum Therapies Treulich, Kristen
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1497008668
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-12-12252Certification Number
San Diego Autism Spectrum Therapies Uribe, Annette
4719 Viewridge Ave, Ste 100
San Diego, CA, 92123
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1528426012
Accepting New Patients Yes. Referral may be required.
(866) 727-8274
BCBA 1-15-21119Certification Number
San Diego ACES Vang, Yang
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1811231574
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-12-12606Certification Number
Monday, February 19, 2018 Page 66 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
San Diego ACES Whybrew, Nicole
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1427418300
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-15-21217Certification Number
San Diego ACES Wilson, Mary (Malia)
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1285886622
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-06-2966Certification Number
San Diego ACES Wolfe, Alison
3731 Sixth Ave, Ste 100
San Diego, CA, 92103
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1750625398
Accepting New Patients Yes. Referral may be required.
(619) 278-0884
BCBA 1-09-6499Certification Number
Ventura ESSC - Thousand Oaks Aloisi, Kelly
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1073867560
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-12-12037Certification Number
Ventura ESSC - Thousand Oaks Arius, Erica
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1295090132
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-11-8740Certification Number
Ventura ESSC - Thousand Oaks Chi, Kellee
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1467881466
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-13-14347Certification Number
Monday, February 19, 2018 Page 67 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Ventura Centria Autism Services Essombe, Geraldine
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1700331956
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-17-27326Certification Number
Ventura Centria Autism Services Fikry, Nancy
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages Arabic
National Provider ID 1811385289
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-14-10263Certification Number
Ventura ESSC - Thousand Oaks Gard, Brendan M
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1285978171
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-12-11842Certification Number
Ventura ESSC - Thousand Oaks Gormont, Christine
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1679867717
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-11-8983Certification Number
Ventura ESSC - Thousand Oaks Hafey, Erin C
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1366729469
Accepting New Patients No
(805) 418-9952
BCBA 1-11-9038Certification Number
Ventura Centria Autism Services Hendrik, Dwight
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1770093437
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-17-27345Certification Number
Monday, February 19, 2018 Page 68 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Ventura ESSC - Thousand Oaks Judson, Stephanie
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1497298392
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-13-14285Certification Number
Ventura ESSC - Thousand Oaks Kobari-Wright, Vissy
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages Farsi
National Provider ID 1003359902
Accepting New Patients No
(805) 418-9952
BCBA 1-12-11786Certification Number
Ventura Centria Autism Services Liu, Hedy
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1215319959
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-15-18219Certification Number
Ventura Centria Autism Services Pusateri, Jessica
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1225407299
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-16-21370Certification Number
Ventura ESSC - Thousand Oaks Rice, Brian
223 E Thousand Oaks Blvd
Thousand Oaks, CA, 91360
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1689967275
Accepting New Patients Yes. Referral may be required.
(805) 418-9952
BCBA 1-11-8143Certification Number
Ventura Centria Autism Services VanMarter, Thomas
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages
National Provider ID 1679937320
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-16-22082Certification Number
Monday, February 19, 2018 Page 69 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
County Office or Practice Name Provider DetailsName/Specialty
Southern California Contracted Autism Service Providers
Ventura Centria Autism Services Wilbat, Matthew
5716 Corsa Ave, Ste 110
Westlake Village, CA, 91362
Autism Service Provider
CA License Number
Other Languages Spanish
National Provider ID 1588186415
Accepting New Patients Yes. Referral may be required.
(323) 716-7315
BCBA 1-14-17325Certification Number
Monday, February 19, 2018 Page 70 of 70
The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.
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