Organization
LEGACY KIDS LLC
Active
Organization
LEGACY KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY M WEI BCBA (OWNER/DIRECTOR)
(949) 412-5939
Entity
Organization
Contact information
Practice address
1213 AVIATOR LN S, TUSTIN, CA 92782-1701
(949) 412-5939
Mailing address
1213 AVIATOR LN S, TUSTIN, CA 92782-1701
(949) 412-5939
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/26/2023
Last updated
05/14/2025
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