| NPI | 1578173472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GELENE ROSE MACALINO Contract And Credentialing Manager 916-280-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-08-13 |