| NPI | 1376034090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB SHAHAWI CEO 657-206-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |