| NPI | 1497369540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KATHLEEN CAMARILLO Clinical Manager 440-320-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2022-07-20 |