| NPI | 1700105079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PETTIFORD President And CEO 925-477-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency (Licence: CA MFC45876) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2024-12-31 |