| NPI | 1689326530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SETIADI GINSBURG Co Director 323-627-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |