NPI | 1013470483 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN SANGER Manager/Owner 863-944-0841 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |