NPI | 1770309643 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY WILSON CEO/President/Secretary 805-585-0165 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2024-11-25 |
Last Update Date | 2024-11-25 |