| NPI | 1487300927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN GONZALEZ Contract And Credentialing 619-323-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |