| NPI | 1043626369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE A MANDELA Owner/Sole Member 940-631-0239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2015-11-16 |