| NPI | 1063889327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JACKSON LIPPOLDT Behavior Analyst 757-803-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000608) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |