Organization
CHILD LED THERAPY LLC
Active
Other names
Child Led Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUBLETT (PRESIDENT/BCBA)
(858) 752-4675
Entity
Organization
Contact information
Practice address
8108 THISTLE CT, SAN DIEGO, CA 92120-1620
(858) 752-4675
Mailing address
8108 THISTLE CT, SAN DIEGO, CA 92120-1620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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