Organization
ABA 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA TAYLOR BCBA (FOUNDER)
(210) 393-5743
Entity
Organization
Contact information
Practice address
9565 WAPLES ST STE 100, SAN DIEGO, CA 92121-2973
(210) 393-5743
(858) 800-2570
Mailing address
14781 POMERADO RD # 11, POWAY, CA 92064-2802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
02/26/2023
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