| NPI | 1689909582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMINA KIRYAKOUS Behavior Analyst 209-495-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |