| NPI | 1699029306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARIE SANTOS Proprietor 626-824-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BACB1073918) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY25243) |
| 251S00000X Community/Behavioral Health (Licence: CA PSY25243) | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2018-12-10 |