| NPI | 1912785882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J WEIDNER President 909-841-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |