| NPI | 1477378461 |
|---|---|
| Doing Business As | LEGENDARY BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACK LOPEZ Bcba/Clinical Director 323-943-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-21 |