| NPI | 1144598467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MARIE RIVAS Manager Of Administrative Services 949-250-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1559) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 4039) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2019-10-02 |