| NPI | 1033737465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELENA HENDY Owner 910-849-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |