| NPI | 1396280509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSE ROBLES Licensed Behavior Analyst, Bcba 510-305-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: UT 10194661-2506) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 10194661-2506) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-29 |