| NPI | 1114685658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN VIGIL Director Of Related Services 916-771-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-09-13 |