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
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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