| Pediatric Minds Developmental Services | |
|
3524 Torrance Blvd Ste 104 Torrance CA 90503-4821 | |
| (310) 540-1630 | |
| (310) 540-1610 |
| Full Name | Pediatric Minds Developmental Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3524 Torrance Blvd Ste 104, Torrance, California |
| Authorized Official Name and Position | Pantea Sharifi Hannauer (OWNER) |
| Authorized Official Contact | 3105401630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Minds Developmental Services 3524 Torrance Blvd Ste 104 Torrance CA 90503-4821 Ph: (310) 540-1630 | Pediatric Minds Developmental Services 3524 Torrance Blvd Ste 104 Torrance CA 90503-4821 Ph: (310) 540-1630 |
| NPI Number | 1376803742 |
|---|---|
| Provider Enumeration Date | 05/20/2012 |
| Last Update Date | 05/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376803742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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