| NPI | 1477386852 |
|---|---|
| Doing Business As | JUMPSTART AUTISM SCREENING AND EVALUATIONS |
| Entity Type | Organization |
| Authorized Contact | BRIAN LOPEZ Managing Member 505-828-3837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |