| NPI | 1003469420 |
|---|---|
| Doing Business As | BY YOUR SIDE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SULLIVAN CFO 770-884-1050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-11-23 |