| NPI | 1124532718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BOENIG Owner 408-802-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2023-01-19 |