| NPI | 1518541713 |
|---|---|
| Doing Business As | TOTAL BEHAVIOR SUPPORT |
| Entity Type | Organization |
| Authorized Contact | ANDREA NICCOLE KORNELIS Bcba 707-450-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-07-19 |