NPI | 1962986117 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY JAMBA Member, Behavior Analyst 310-940-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2018-09-23 |
Last Update Date | 2018-09-23 |