| NPI | 1255045142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLENE DURAN Entry Level Behaviorist Interventio 951-293-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |