| NPI | 1831331354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF GABRIELSON President 800-991-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 6021) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1020895) |
| 225X00000X Occupational Therapist (Licence: CA 00009246) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2010-08-30 |