| NPI | 1619428216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R BOUCHARD Ms, Bcba / Owner 760-271-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-16524) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2018-01-22 |