| NPI | 1225206105 |
|---|---|
| Doing Business As | JUMPSTART AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN RUSSELL LOPEZ Owner 505-828-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 0877) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2021-04-21 |