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 |