| NPI | 1922597111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GRAY Director 310-870-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-02-26 |