| NPI | 1992311773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GRAY Director 310-929-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-02-26 |