| 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 |