| NPI | 1083325609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY K MRLA Founder/President 479-418-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 225X00000X Occupational Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 251C00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-12-23 |