| NPI | 1992169940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE AUDREY OCEN Psychologist/ Bcba 562-356-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 27081) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |