| NPI | 1093252264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA SHANEA EGGEHORN Owner 626-736-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 11417186) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |