Child Led Therapy LLC
Early Intervention Provider Agency in San Diego, CA. Organization (NPI-2).
NPI number1902568074
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1902568074
- Entity type
- Organization (NPI-2)
- Legal business name
- Child Led Therapy LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Child Led Therapy (Doing Business As)
Practice location
8108 Thistle CtSan Diego, CA 92120-1620
Phone 858-752-4675
Mailing address
8108 Thistle CtSan Diego, CA 92120-1620
Authorized official
Melissa Sublett
President/Bcba
8587524675
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