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NPI Code Detail

MEDICARE: LOVAAS INSTITUTE FOR EARLY INTERVENTION

MEDICARE: LOVAAS INSTITUTE FOR EARLY INTERVENTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist23924CA
2103TM1800XIntellectual & Developmental Disabilities Psychologist4520CA
3251S00000XCommunity/Behavioral Health Agency
4103K00000XBehavior Analyst1-00-0252FL

General Provider Information

NPI Number : 1003975236
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVAAS INSTITUTE FOR EARLY INTERVENTION
Provider Business Mailing Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Provider Business Practice Location Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Authorized Official
Title or Position : CFO
Name : MATTHEW S. SANDS
Credential :
Telephone Number : 610-564-0912
Provider Enumeration Date : 12/06/2006
Last Update Date : 11/12/2025

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Directions to “LOVAAS INSTITUTE FOR EARLY INTERVENTION ” Practice Location

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