Organization
RTL BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA KRISTA LEE ANN KING BCBA (OWNER, CEO)
(573) 825-5207
Entity
Organization
Contact information
Practice address
1243 EL CORTEZ CT, CHULA VISTA, CA 91910-8187
(573) 825-5207
Mailing address
1243 EL CORTEZ CT, CHULA VISTA, CA 91910-8187
(573) 825-5207
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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