| NPI | 1073031084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK M EAGLE Owner 425-246-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 11623142) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |