| NPI | 1881864916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RUSSELL C.F.O. 818-241-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-00-0010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: 1-04-1754) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2014-08-28 |