NPI | 1548883317 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTEBAN GONZALEZ Contracts/Credentialing Specialist 619-323-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
225X00000X Occupational Therapist | |
Enumeration Date | 2020-05-27 |
Last Update Date | 2020-07-02 |