| NPI | 1851961908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PENALOZA Owner 619-855-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |