| NPI | 1326778648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTENI MARIE COLBERT Owner 323-868-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-12 |