| NPI | 1760123483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKEA RENEE GRAY Owner 310-418-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-07-06 |