| NPI | 1871077180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMRAT ROY Speech Language Pathologist/COO 408-244-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |