| NPI | 1548031362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FASTIGGI Owner 562-556-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-02-06 |