| NPI | 1568763324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE VICKERS Executive Director 925-286-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 16680) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 251S00000X | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2012-05-06 |