| NPI | 1760289656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON TERRY Operations Administrator 831-915-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 208000000X Pediatrics | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080S0012X Pediatrics, Sleep Medicine | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |