| NPI | 1518352186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY VIDAL Chief Operations Officer 833-879-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 1-14-15204) |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 1-14-15204) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-09-28 |