| NPI | 1033947510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE WALKER Director 217-306-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-08-15 |