| NPI | 1073116851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CHANG CEO 818-241-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |