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Organization
PEDIATRIC NEUROLOGY THERAPEUTICS
Active
Organization
PEDIATRIC NEUROLOGY THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA DANIELLE KNOPP M.S., BCBA (DIRECTOR)
(201) 819-1499
Entity
Organization
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11624696
CA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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