Healthcare Provider Details
I. General information
NPI: 1144139684
Provider Name (Legal Business Name): CONNECT AND LEARN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2321 ROSECRANS AVE STE 5200 OFFICE 79
EL SEGUNDO CA
90245-4936
US
IV. Provider business mailing address
2321 ROSECRANS AVE STE 5200
EL SEGUNDO CA
90245-4936
US
V. Phone/Fax
- Phone: 424-397-1931
- Fax:
- Phone: 424-397-1931
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
ROOS
Title or Position: OWNER
Credential: BCBA, LMFT
Phone: 424-397-1931