NPI | 1063269959 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID PYLES Executive Director 833-968-7762 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261QD1600X Clinic/Center, Developmental Disabilities | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-04-30 |