| NPI | 1487920054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH BLACK CEO 310-649-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY5115) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-01-0612) |
| 103K00000X Behavior Analyst (Licence: CA 1-09-6511) | |
| 103K00000X Behavior Analyst (Licence: CA 1-11-7967) | |
| 103K00000X Behavior Analyst (Licence: CA 1-11-8158) | |
| 103K00000X Behavior Analyst (Licence: CA 1-02-0940) | |
| 103K00000X Behavior Analyst | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24318) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2021-03-31 |