| NPI | 1396331104 |
|---|---|
| Other Name | PRISM BEHAVIORAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MAYA DAEJA HOLLEY Behavioral Therapist 909-802-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-17 |