NPI | 1063971166 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE CERVONE Owner/Chief Clinical Officer 515-664-3422 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-08-07 |