Provider Demographics
NPI:1811542467
Name:FLEX LEARNING, LLC
Entity type:Organization
Organization Name:FLEX LEARNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:562-661-8900
Mailing Address - Street 1:1720 E 2ND ST APT 12
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-8409
Mailing Address - Country:US
Mailing Address - Phone:951-255-6438
Mailing Address - Fax:
Practice Address - Street 1:145 W BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4413
Practice Address - Country:US
Practice Address - Phone:562-661-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty