NPI | 1902307614 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA KRASNO Clinical Director 805-893-3825 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28483) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |