| NPI | 1558167452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANITA MALOKERA DE PAULA Director 623-385-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |