| NPI | 1255972899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN ELIAS GONZALEZ Contracts And Credentialing 619-323-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-04-14 |