NPI | 1700189222 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY WINTER C.E.O. 818-241-6780 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-08-4817) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9482) |
225XP0200X Occupational Therapist, Pediatrics | |
2251P0200X Physical Therapist, Pediatrics | |
Enumeration Date | 2010-12-07 |
Last Update Date | 2015-04-08 |