NPI | 1003041526 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM HEISLER CEO 870-755-2737 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR 23984) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AR 23984) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2009-05-28 |