| NPI | 1356625214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M PRINCE Partner 559-970-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 13262) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-09-6445) |
| 103K00000X Behavior Analyst (Licence: CA 1-11-8245) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA 14578) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA 18888) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2016-11-16 |