Extensive Therapy Connection and Solution

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

14361 Issued in CA

Legal business name

EXTENSIVE THERAPY CONNECTION AND SOLUTION

Practice address

1618 Fox Glen Dr
Diamond Bar, CA 91765-2929

Phone

(951) 332-7832

NPI assigned

May 24, 2011

Last updated

May 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sawmick Dutta, MS

Title

Speech and Language Pathologist

Phone

(951) 332-7832

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1689967630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 FOX GLEN DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652929",
            "telephone_number": "951-332-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 FOX GLEN DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652929",
            "telephone_number": "951-332-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE THERAPY CONNECTION AND SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "DUTTA",
        "authorized_official_first_name": "SAWMICK",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "951-332-7832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "14383",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "14361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.