| NPI | 1366976003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE GUERRA Credentialing Assistant 818-241-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-25523) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |