Provider Demographics
NPI:1902685118
Name:I AM THERAPY INC
Entity Type:Organization
Organization Name:I AM THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JULISSA
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:MEJIA-SORTO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:213-880-3861
Mailing Address - Street 1:835 HYDE AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2507
Mailing Address - Country:US
Mailing Address - Phone:213-880-3861
Mailing Address - Fax:
Practice Address - Street 1:835 HYDE AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2507
Practice Address - Country:US
Practice Address - Phone:213-880-3861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty