| NPI | 1225542103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CASTELLON Clinical Director 310-227-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |