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Organization
PEDIATRIC PREFERRED CHOICE
Active
Organization
PEDIATRIC PREFERRED CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS TERRELL WELCH (EXECUTIVE DIRECTOR)
(424) 303-1031
Entity
Organization
Contact information
Practice address
4821 LANKERSHIM BLVD STE FPMB1029, NORTH HOLLYWOOD, CA 91601-4538
(424) 303-1031
Mailing address
4821 LANKERSHIM BLVD STE FPMB1029, NORTH HOLLYWOOD, CA 91601-4538
(424) 303-1031
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/10/2022
Last updated
10/13/2022
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