| NPI | 1053162248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE ELIZABETH BANISH Owner 571-464-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |