| NPI | 1437759107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON LEE KEIRNES General Manager 626-358-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-11-07 |