| NPI | 1538662804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SANDWELL Clinical Director 858-247-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-136) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |