NPI 1881255412 · live from the CMS NPI Registry
4 Behavior Change
Behavior Analyst in Torrance, CA. National Provider Identifier 1881255412, active.
NPI record
| NPI | 1881255412 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 20100 S Western Ave # A4, Torrance, CA 90501 |
| Practice phone | 800-701-6592 |
| Enumerated | June 25, 2019 |
| Last updated | October 13, 2020 |
| Authorized official | Lori Brummel, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, School | 101YS0200X | — |
| Behavior Technician | 106S00000X | — |
| Psychologist, School | 103TS0200X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.