| NPI | 1235650516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE TANIFORM Clinical Director 626-432-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-9821) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |