| NPI | 1265945844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TUCKER Owner 650-208-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-9431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCC5297) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-07-19 |