| NPI | 1538306808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEETA R PATEL Executive Director And CEO 415-332-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-00-0346) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MN 2801) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 712332) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 11937) | |
| 103K00000X Behavior Analyst (Licence: CA 1-12-12024) | |
| 103K00000X Behavior Analyst (Licence: CA 1-14-16743) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2016-06-21 |