| NPI | 1972258952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREONNA MABRY Founder 760-809-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |