| NPI | 1114223765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA R. ADDISON Exec. Director 805-383-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-05-2114) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 22059) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2021-08-12 |