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1149 W 190th St Ste 2200 Gardena CA 90248-4344 | |
| (310) 856-0800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1149 W 190th St Ste 2200, Gardena, California |
| Authorized Official Name and Position | Helen Mader (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3108560800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 N Pacific Coast Hwy Ste 1400 El Segundo CA 90245-5602 Ph: (310) 856-0800 | 1149 W 190th St Ste 2200 Gardena CA 90248-4344 Ph: (310) 856-0800 |
| NPI Number | 1245539394 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245539394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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