| NPI | 1952672297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUK Founder & Executive Director 949-939-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 23794) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-08-4069) |
| 103TS0200X Psychologist, School (Licence: CA LEP 3066) | |
| 225X00000X Occupational Therapist (Licence: CA OT 7404) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP 9175) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2016-09-22 |