| NPI | 1689188237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HEROLD Owner 951-707-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 11518037) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2020-12-15 |