Organization
BEHAVIOR GUIDANCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA NICOLE FISHER MA, BCBA (CLINICAL DIRECTOR)
(323) 350-2610
Entity
Organization
Contact information
Practice address
10273 ORTON AVE, LOS ANGELES, CA 90064-2505
(310) 853-8025
Mailing address
10273 ORTON AVE, LOS ANGELES, CA 90064-2505
(310) 853-8025
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/23/2012
Last updated
02/13/2015
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