| NPI | 1417458589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN COWAN Clinical Director 858-442-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AK 115523) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |