| NPI | 1053660209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KYRIANNIS President 702-250-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1-02-0938) |
| Additional Taxonomies | 251S00000X (Licence: HI MHC 279) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-08-22 |