| NPI | 1205597457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA L JOHNSON Clinical Director 909-419-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-01-09 |