| NPI | 1932587748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA BORNA CEO 310-857-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 224Z00000X Occupational Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-04-17 |