| NPI | 1063875284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA RICHTER Board Certified Behavior Analyst 318-655-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA L-146) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2018-05-09 |