| NPI | 1295241065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE QUYNH ANH LUONG Executive Director 831-316-4699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |