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Organization
STEP-BY-STEP EDU PLAY PROGRAMS
Active
Organization
STEP-BY-STEP EDU PLAY PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEARNEY N VISSER PH.D. (DIRECTOR OF BEHAVIOR INTERVENTION)
(310) 409-5463
Entity
Organization
Contact information
Practice address
1814 14TH ST, 203, SANTA MONICA, CA 90404-7028
(310) 409-5463
Mailing address
1814 14TH ST STE 203, SANTA MONICA, CA 90404-7006
(310) 409-5463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY23855
CA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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