| NPI | 1588936074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MALDONADO Director, Co Founder 951-595-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX 1-09-6422) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2023-01-23 |