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Organization
COLLABORATIVE PARTNERS FOR SUCCESS, LLC
Active
Organization
COLLABORATIVE PARTNERS FOR SUCCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA MICHELLE SMITH BCBA (DIRECTOR OF CLINICAL SERVICES)
(310) 529-0301
Entity
Organization
Contact information
Practice address
3472 TULANE AVENUE, LONG BEACH, CA 90808
(310) 529-0301
(562) 429-2365
Mailing address
3472 TULANE AVE, LONG BEACH, CA 90808-2654
(310) 529-0301
(562) 429-2365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5819
CA
235Z00000X
Speech-Language Pathologist
20198
CA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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