Organization
BRIDGE FOR KIDS
Active
Other names
Behavioral Bridges
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP KAUR SRAN M.A. (CLINICAL DIRECTOR)
(949) 400-5611
Entity
Organization
Contact information
Practice address
6080 CENTER DR STE 600, LOS ANGELES, CA 90045-1540
(310) 365-5692
Mailing address
6080 CENTER DR STE 600, LOS ANGELES, CA 90045-1540
(310) 365-5692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084161
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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