Spirale System







Spirale Provider Listing

Dr. Ajeet Ghumman
Registered


Provider Acknowledges the following /
Le prestataire confirme quil⁄elle:
* 18 years or older / A 18 ans ou plusYes
* Has acknowledged site waiver/mandate / mandate Accepte le démenti⁄mandat du siteYes
*Practising with a clear Police check? / Ne possède pas de casier judiciaireYes


General Information / Renseignements généraux

Title / TitreDr.
* First Name / NomAjeet
* Surname / Nom de familleGhumman
Company Name / Nom de l'organismeDental Works 4 Kids
* Address 1 / Adresse 19983 Keele Street
Address 2 / Adresse 2Suite 202
* City / VilleMaple
* ProvinceOntario
* Postal Code / Code postalL6A1S8
* Phone / Téléphone905-417-2825 ext./poste
Email / Adresse électroniqueEmail this provider Email this Provider
Company Web Site / Web de lorganismewww.dentalworks4kids.com
Geographic Region(s) Served *
Région(s) géographique(s) desservis(es)
Toronto, Central West, Central East
Geographic Area(s) Served *
Région(s) géographique(s) desservis(es)
Toronto, Durham, York, Peel

Provider Information / Renseignements sur le fournisseur

Regulated profession: Dentist / Dentiste
Is a member in good standing with their regulated college / Je suis membre en règle de mon collège d’agrément
J’ai besoin d’une référence d’un autre professionnel de la santé
Yes
Do you require a referral from another health professional? / J’ai besoin d’une référence d’un autre professionnel de la santéNo
Language(s) in which you can provide service *
Service offert dans quelle(s) langue(s)?
English
Other Language(s) / Autres langues
Are you accepting new clients?
Acceptez-vous des nouveaux clients?
Yes
Do you have a wait list?
Avez-vous une liste dattente?
No

Service Location / Lieu de prestation des services

I provide services in a/the / J’offre des services aux endroits suivants:Community centre (provide name) / Centre communautaire (nom du centre communautaire)
Clinic/Center Name (if applicable):
* Office / Centre-Based Service? / Service dans un centre?Yes
* Home-Based Service / Service à domicile?No
* Community-Based Service / Service en communauté?Yes

Provider Experience / Expérience du fournisseur

* Do you have experience in working with children and youth developmental disabilities? / / Avez-vous déjà travaillé avec des enfants et des jeunes qui avaient des troubles du développement? Yes
* Do you have experience working with children and youth ASD? / Avez-vous déjà travaillé avec des enfants et des jeunes qui avaient un trouble du spectre de l’autisme (TSA)? Yes
Age Group / Groupe dâge desservisNumber of People Served with ASD / Nombre de personnes ayant un TSA desservies
* Preschool / Préscolaire11-25
* Grades K-8 / Élémentaire11-25
* High School / Secondaire6-10
* Adult / Adulte0



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