NPI 1003159203

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Organisation Early Intervention Provider Agency Santa Monica, CA

Practice location

Address: 1412 14th St, Santa Monica, CA 90404-2704
Phone: (310) 339-9092
Fax: (310) 587-0020

Authorised official

Name: John S Cox
Title: Operations Director
Phone: (310) 581-0590

Registered specialties (5)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 44050 (CA)

Other Early Intervention Provider Agency providers in California →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence MFT 52930 (CA)

Other Community/Behavioral Health providers in California →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence MFT 77513 (CA)

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence BCBA 1-13-14270 (CA)

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence BCBA 1-10-6879 (CA)

Registry record

NPI: 1003159203
Entity type: Organization
NPI issued: 5 Apr 2013
Record last updated: 27 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.