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Organization
LIFE LAB LA
Active
Organization
LIFE LAB LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX ERIC BLUM M.S, BCBA (PRESIDENT)
(818) 632-7513
Entity
Organization
Contact information
Practice address
3917 HURON AVE UNIT 2, CULVER CITY, CA 90232-3820
(818) 632-7513
Mailing address
3917 HURON AVE UNIT 2, CULVER CITY, CA 90232-3820
(818) 632-7513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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