Source 1 Behavioral Services, LLC
NPI #1356016539 in San Pedro, California
Provider Information
- NPI Number
- 1356016539
- Entity Type
- Organization
- Organization Name
- Source 1 Behavioral Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 10, 2021
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 222 W 6TH ST STE 400
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-3345
- Phone
- (562) 708-7639
Authorized Official
- Name
- DANIELLE MARIE BAKER, BCBA
- Title
- EXECUTIVE DIRECTOR/OWNER
- Phone
- (562) 708-7639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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