NPI | 1063799443 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JAMES FEENEY Manager And Owner 269-762-2075 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-08-4678) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2020-02-03 |