| NPI | 1760911184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MICHELLE SMITH Director Of Clinical Services 310-529-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-09-5819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20198) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |