| NPI | 1366773012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRYON KETCHAM CEO 415-915-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2021-01-20 |