Provider Demographics
NPI:1164183968
Name:GROW AND LEARN, PLAY AND ABA, LLC
Entity Type:Organization
Organization Name:GROW AND LEARN, PLAY AND ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONDAY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:310-526-4024
Mailing Address - Street 1:21213B HAWTHORNE BLVD
Mailing Address - Street 2:#3031
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-988-9722
Mailing Address - Fax:
Practice Address - Street 1:21213B HAWTHORNE BLVD # 3031
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5501
Practice Address - Country:US
Practice Address - Phone:310-526-4024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty