| NPI | 1164948535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JAMBA Executive Clinical Director 310-940-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000146) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |