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Organization

KYO AUTISM THERAPY, LLC

Active
Other names
Gateway Learning Group, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
COLIN DAVITIAN (CHEIF EXECUTIVE OFFICER)
(877) 264-6747
Entity
Organization

Contact information

Practice address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
(877) 539-7730
Mailing address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
(877) 539-7730

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
251S00000X
Community/Behavioral Health Agency
Primary
1042076
CA

Other

Enumeration date
05/05/2009
Last updated
01/29/2025
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