| NPI | 1740800390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELY CRISTINA JOHNS Executive Director/Owner 951-966-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |