Impacting Kidz
NPI #1528754694 in Lake Forest, California
Provider Information
- NPI Number
- 1528754694
- Entity Type
- Organization
- Organization Name
- Impacting Kidz
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 12, 2023
- Last Updated
- Apr 12, 2023
Practice Location
- Address
- 24802 LAKEFIELD ST
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2425
- Phone
- (626) 328-6929
Authorized Official
- Name
- ROSSY C PEREZ, MS
- Title
- BEHAVIOR ANALYST
- Phone
- (626) 328-6929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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