| NPI | 1245738434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAR MARINA TACKITT Owner 661-229-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-24995) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2026-10-01 |