| NPI | 1891421194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHELE MANVELL President/Owner/Slp 714-943-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |