| NPI | 1619623154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS ROSE WINTERS Clinical Director 209-408-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-25 |