| NPI | 1780458570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE LASCANO CEO 626-209-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-11-08 |