| NPI | 1659043222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE MACIAS Owner 951-404-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-05-10 |