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 Day Training, Developmentally Disabled Services (Licence: CA 1-07-3777) | |
Enumeration Date | 2011-12-19 |
Last Update Date | 2011-12-19 |