| NPI | 1316487465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MICHELLE ST. CLAIR Clinical Director / Co Founder 818-856-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-17867) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 174H00000X Health Educator | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |