| NPI | 1821362211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE JACKSON Clinical Director 559-278-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2014-01-30 |