Passport to Adaptive Living

NPI #1952661241 in Ventura, California

Provider Information

NPI Number: 1952661241
Entity Type: Organization
Organization Name: Passport to Adaptive Living
Primary Specialty: Behavior Analyst
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 1673 DONLON ST STE 204
City: Ventura
State: California
ZIP Code: 93003-5668
Phone: (805) 339-0210

Authorized Official

Name: WILSON JEREMY
Title: DIRECTOR
Phone: (805) 339-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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