Organization · NPI-2

4 Behavior Change

Behavior Analyst · Torrance, CA

NPI number1881255412
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1881255412
Entity type
Organization (NPI-2)
Legal business name
4 Behavior Change
Organization subpart
Yes
Enumeration date
Jun 25, 2019
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
101YM0800X Counselor, Mental Health––
101YS0200X Counselor, School––
106S00000X Behavior Technician––
103TS0200X Psychologist, School––
106E00000X Assistant Behavior Analyst––

Practice location

20100 S Western Ave # A4
Torrance, CA 90501-1307

Phone 800-701-6592

Mailing address

20100 S Western Ave # A4
Torrance, CA 90501-1307

Phone 310-971-4778

Authorized official

Lori Brummel
President
3109714778

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