NPI | 1285206375 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA ELDER Credentialing Specialist 925-233-5262 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-07-16 |