Healthcare Provider Details

I. General information

NPI: 1811542467
Provider Name (Legal Business Name): FLEX LEARNING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W BROADWAY
LONG BEACH CA
90802-4413
US

IV. Provider business mailing address

1720 E 2ND ST APT 12
LONG BEACH CA
90802-8409
US

V. Phone/Fax

Practice location:
  • Phone: 562-661-8900
  • Fax:
Mailing address:
  • Phone: 951-255-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. MIGUEL ANTONIO FLORES
Title or Position: CLINICAL EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 562-661-8900