| NPI | 1821674243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANOOR SHAHIN Clinical Director / Vice President 818-926-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |