NPI | 1639787393 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA K FUNK Credentialing/Contracting 949-422-3609 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2021-03-18 |