| NPI | 1811211741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHVIND N ADKINS SINGH Chief Clinical Manager 562-375-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001495) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0810001495) |
| 103K00000X Behavior Analyst (Licence: CA 23144) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810001495) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 23144) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA psy003323) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 23144) | |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY003323) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: VA 0810001495) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 23144) | |
| 225X00000X Occupational Therapist (Licence: CA 12861) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2015-10-15 |