| NPI | 1477817559 |
|---|---|
| Doing Business As | MEDIATED LEARNING LLC |
| Entity Type | Organization |
| Authorized Contact | KARINA POIRIER Director Of Clinical Services 949-788-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-10-6782) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 12699) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC28039) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-11-28 |