Organization
CENTER OF SOCIAL DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEZABEL QUINTERO B,S (BEHAVIOR SPECIALIST)
(562) 507-3356
Entity
Organization
Contact information
Practice address
4952 WARNER AVE STE 300, HUNTINGTON BEACH, CA 92649-5506
(714) 587-9007
Mailing address
2040 W WARDLOW RD APT 9, LONG BEACH, CA 90810-2058
(562) 507-3356
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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