Organization
CHANGE FACTORS ANALYSIS
Active
Parent organization
ASSESSMENT, CONSULTATION, & TREATMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSESSMENT, CONSULTATION, & TREATMENT
Authorized official
KELLY TERNENT (PRINCIPAL)
(818) 448-9215
Entity
Organization
Contact information
Practice address
92 N BERKELEY AVE, PASADENA, CA 91107-3548
(818) 448-9215
Mailing address
92 N BERKELEY AVE, PASADENA, CA 91107-3548
(818) 448-9215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1107517
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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