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Organization
EDUCATIONAL AND DEVELOPMENTAL THERAPIES, INC
Active
Organization
EDUCATIONAL AND DEVELOPMENTAL THERAPIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E LAITINEN PH.D., BCBA-D (CEO)
(831) 600-6217
Entity
Organization
Contact information
Practice address
421 TOWNSEND DR, APTOS, CA 95003-5025
(831) 600-6217
Mailing address
421 TOWNSEND DR, APTOS, CA 95003-5025
(831) 600-6217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1646
CA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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