| NPI | 1043954308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARTIN Owner 918-607-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 251S00000X | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |