| NPI | 1073182762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKATA KHYNE-SAM Owner 571-398-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |