| NPI | 1750783890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO LANG CEO 714-288-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA PSY12076) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY12076) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |