| NPI | 1033791512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BROWN Owner 216-256-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-04-25 |