| NPI | 1649617952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ORELLANA President 877-776-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05160) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-08-4279) |
| 225X00000X Occupational Therapist (Licence: MD 05409) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-03-19 |