| NPI | 1427602747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY PAK Bcba 562-455-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-09-13 |