| NPI | 1922452192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WILSON Clinical Director 805-339-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 0-16-7052) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |