| Lifetastic Learning Inc | |
|
1414 S Azusa Ave Ste B-18 West Covina CA 91791-8001 | |
| (626) 534-1967 | |
| Not Available |
| Full Name | Lifetastic Learning Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1414 S Azusa Ave Ste B-18, West Covina, California |
| Authorized Official Name and Position | Alice Lee (DIRECTOR) |
| Authorized Official Contact | 6265341967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetastic Learning Inc 1414 S Azusa Ave Ste B-18 West Covina CA 91791-8001 Ph: (626) 534-1967 | Lifetastic Learning Inc 1414 S Azusa Ave Ste B-18 West Covina CA 91791-8001 Ph: (626) 534-1967 |
| NPI Number | 1770291841 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770291841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Secondary |
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