| NPI | 1538646625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY GEBHART CFO 559-906-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-9569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 17021) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |