Provider Demographics
NPI:1467882936
Name:CENTER FOR DEVELOPMENTAL PLAY AND LEARNING
Entity Type:Organization
Organization Name:CENTER FOR DEVELOPMENTAL PLAY AND LEARNING
Other - Org Name:CDPL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DEINES
Authorized Official - Last Name:MARQUART
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:805-729-2051
Mailing Address - Street 1:4675 VIA LOS SANTOS
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1346
Mailing Address - Country:US
Mailing Address - Phone:805-964-2700
Mailing Address - Fax:805-964-2722
Practice Address - Street 1:4675 VIA LOS SANTOS
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1346
Practice Address - Country:US
Practice Address - Phone:805-964-2700
Practice Address - Fax:805-964-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MFC 36439103K00000X
CAMFC 14111106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty