| NPI | 1396140729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE HEID Director 661-803-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-11856) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2022-11-16 |