Family Care Spectrum Therapies
Behavior Analyst in Long Beach, CA. Organization (NPI-2).
NPI number1346700697
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1346700697
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Care Spectrum Therapies
- Organization subpart
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
3780 Kilroy Airport Way Ste 200Long Beach, CA 90806-2458
Phone 323-548-8820 · Fax 323-978-6842
Mailing address
Po Box 1851South Gate, CA 90280-1851
Authorized official
Cristian Gandara
Executive Clinical Director / Ceo
3235488820
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