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 |