| NPI | 1356228563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA COSSOLINI Owner/ Clinical Director 551-697-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |