| NPI | 1609752906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONAN CALLEJA Owner 505-451-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |