| NPI | 1891475810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA JOHNSON Owner/Bcba 909-359-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |