| NPI | 1275067548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAI FULLER Behavior Analyst 323-547-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-14671) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |