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Organization
LIFETASTIC LEARNING INC
Active
Organization
LIFETASTIC LEARNING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE LEE BCBA (DIRECTOR)
(626) 534-1967
Entity
Organization
Contact information
Practice address
1414 S AZUSA AVE STE B-18, WEST COVINA, CA 91791-8001
(626) 534-1967
Mailing address
1414 S AZUSA AVE STE B-18, WEST COVINA, CA 91791-8001
(626) 534-1967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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