Organization Name: | LOVAAS INSTITUTE FOR EARLY INTERVENTION |
NPI Number: | 1003975236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW S. SANDS (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 6167 Bristol Parkway Suite 130 Culver City |
State: | CA US |
Postal Code: | 90230 |
Phone Number: | 3104104450 |
Fax Number: | 3104104455 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | 4520 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |