| NPI | 1780388330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEYSHA COBBS-HAYES CEO 909-701-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |