| NPI | 1306394291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M PRIDDY-MARIN Licensed Behavior Analyst 310-560-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 101578) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |