| NPI | 1083486609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNE PATRIESE RICHARDSON Owner 757-998-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2026-08-14 |