| NPI | 1740777556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB F SHAHAWI CEO 657-206-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-06-16 |