| NPI | 1235769415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B KOCH Owner 858-666-7247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |