Organization
COLLABORATIVE PARTNERS FOR SUCCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA MICHELLE SMITH BCBA (DIRECTOR OF CLINICAL SERVICES)
(310) 529-0301
Entity
Organization
Contact information
Practice address
3472 TULANE AVENUE, LONG BEACH, CA 90808
(310) 529-0301
(562) 429-2365
Mailing address
3472 TULANE AVE, LONG BEACH, CA 90808-2654
(310) 529-0301
(562) 429-2365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5819
CA
235Z00000X
Speech-Language Pathologist
20198
CA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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