| 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 Community/Behavioral Health |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-09-23 |