| NPI | 1699460022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE MCCLAIN Owner 323-337-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |