| NPI | 1083057335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SLOAN Director 888-618-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |