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Organization
FAMILY CARE SPECTRUM THERAPIES
Active
Organization
FAMILY CARE SPECTRUM THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIAN GANDARA BCBA (EXECUTIVE CLINICAL DIRECTOR / CEO)
(323) 548-8820
Entity
Organization
Contact information
Practice address
3780 KILROY AIRPORT WAY STE 200, LONG BEACH, CA 90806-2458
(323) 548-8820
(323) 978-6842
Mailing address
PO BOX 1851, SOUTH GATE, CA 90280-1851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/22/2019
Last updated
04/27/2020
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