Legendary Behavioral Services
NPI #1477378461 in West Covina, California
Provider Information
- NPI Number
- 1477378461
- Entity Type
- Organization
- Organization Name
- Legendary Behavioral Services
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Nov 15, 2024
- Last Updated
- May 13, 2025
Practice Location
- Address
- 1744 E THACKERY ST
- City
- West Covina
- State
- California
- ZIP Code
- 91791-3137
- Phone
- (323) 943-4400
Authorized Official
- Name
- JACK LOPEZ
- Title
- BCBA/CLINICAL DIRECTOR
- Phone
- (323) 943-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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