| NPI | 1902568074 |
|---|---|
| Doing Business As | CHILD LED THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELISSA SUBLETT President/Bcba 858-752-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |