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Organization
EARLY BIRD OUTCOMES, INC.
Active
Organization
EARLY BIRD OUTCOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN DADMEHR (CEO)
(310) 628-4400
Entity
Organization
Contact information
Practice address
2909 US HIGHWAY 12 SW, WAVERLY, MN 55390-8500
(888) 983-2473
Mailing address
10866 WILSHIRE BLVD., SUITE 400, LOS ANGELES, CA 90024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/12/2022
Last updated
05/19/2023
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