Organization
BEHAVIORAL EDUCATION FOR CHILDREN WITH AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ELSKY PSY. D (DIRECTOR)
(310) 787-9334
Entity
Organization
Contact information
Practice address
369 VAN NESS WAY, SUITE 710, TORRANCE, CA 90501-1489
(310) 787-9334
(310) 787-8626
Mailing address
369 VAN NESS WAY, SUITE 710, TORRANCE, CA 90501-1489
(310) 787-9334
(310) 787-8626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1A-19-155
CA
251S00000X
Community/Behavioral Health Agency
Primary
1A-19-155
CA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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