Provider Demographics
NPI:1104270685
Name:BEHAVIORAL EDUCATION FOR CHILD
Entity type:Organization
Organization Name:BEHAVIORAL EDUCATION FOR CHILD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-787-9334
Mailing Address - Street 1:357 VAN NESS WAY STE 90
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1479
Mailing Address - Country:US
Mailing Address - Phone:310-787-9334
Mailing Address - Fax:
Practice Address - Street 1:357 VAN NESS WAY STE 90
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1479
Practice Address - Country:US
Practice Address - Phone:310-787-9334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-21401103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty