| NPI | 1043191653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SPIEGEL SVP 618-851-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |