| NPI | 1700249836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES JOHNSON Director 951-591-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-06-03 |