| NPI | 1235920026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA R COLBERT Owner/Manager 909-414-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-08-26 |