| NPI | 1083452528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FEAVEL CEO 928-853-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-23 |