NPI | 1629400395 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MARTIN ELSKY Clinical Director 310-933-4499 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA MFC 48133) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2016-09-07 |