| NPI | 1104591239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY TSAI TRUONG Behavior Analyst 408-768-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |