| NPI | 1760074702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANOOR SHAHIN Clinical Director/ Vice President 818-926-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |