| NPI | 1740515527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA IDELSON Director 310-899-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2025-08-18 |