| NPI | 1265907141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY KEENE VISCOMI President 760-576-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-06-04 |