| NPI | 1225565526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRIC ANGLIN Board Certified Behavior Analyst 909-571-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-9984) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-11-18 |