| NPI | 1144767583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISSA VAN ETTEN Director/ Owner 949-295-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |