| NPI | 1275934622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RUSSELL C.F.O. 818-241-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-07-3957) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-00-0010) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |