| NPI | 1679352892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY M WEI Owner/Director 949-412-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-03-24 |