Passport to Adaptive Living
NPI #1922452192 in Ventura, California
Provider Information
- NPI Number
- 1922452192
- Entity Type
- Organization
- Organization Name
- Passport to Adaptive Living
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 14, 2016
- Last Updated
- Apr 14, 2016
Practice Location
- Address
- 2291 PORTOLA ROAD
- Address 2
- UNIT A
- City
- Ventura
- State
- California
- ZIP Code
- 93003
- Phone
- (805) 339-0210
Authorized Official
- Name
- JEREMY WILSON, M.A. BCBA
- Title
- CLINICAL DIRECTOR
- Phone
- (805) 339-0210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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