| NPI | 1245074061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA COHEN CEO/Developmental Behavioral Ped. 619-320-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2026-03-23 |