| NPI | 1063924330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI EKSTROM Owner 406-624-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-09-08 |