| NPI | 1750650933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE ECKMAN President 949-861-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-07-3777) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22024) |
| 251C00000X (Licence: CA 1-07-3777) | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |