| NPI | 1043087828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA RUBY FUENTES Owner 951-392-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251S00000X |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |