Organization
AUTISM MOVEMENT THERAPY, INC.
Active
Other names
Autism Movement Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE LARA (DIRECTOR)
(323) 240-0361
Entity
Organization
Contact information
Practice address
7439 ORION AVE, VAN NUYS, CA 91406-3319
(323) 240-0361
(866) 498-2702
Mailing address
7439 ORION AVE, VAN NUYS, CA 91406-3319
(323) 240-0361
(866) 498-2702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/07/2012
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