NPI | 1245513894 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISABETH CHERYL FLETCHER President (CEO) 805-484-1671 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-11-8110) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3002) |
103TS0200X Psychologist, School (Licence: CA LEP2570) | |
252Y00000X Early Intervention Provider Agency (Licence: CA SP3002) | |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |