| NPI | 1770858755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI LYNNE ANDERSEN-TARICA Billing Manager 805-541-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA A87435) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |