| NPI | 1386171007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DE QUINTO Manager & Behavior Analyst 408-916-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1107474) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY27356) |
| 251S00000X Community/Behavioral Health (Licence: CA 1107474) | |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 1107474) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |