NPI | 1417554031 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTEBAN GONZALEZ Contracts And Credentialing Spec. 619-323-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 208000000X Pediatrics |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2020-10-06 |
Last Update Date | 2021-02-10 |