| NPI | 1013623297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA TIKO Clinical Director 267-667-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-08-16 |