| NPI | 1457926560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEESHA PERKINS Director Of Credentialing 657-439-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-05-20 |