NPI | 1033663430 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA ROBINSON M.S.,Bcba 317-918-2689 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-16-22488) |
Additional Taxonomies | 103T00000X Psychologist |
235Z00000X Speech-Language Pathologist, | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2016-08-15 |
Last Update Date | 2020-11-30 |