| NPI | 1093243214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GREENE SCHUBERT Owner 770-630-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-17-25626) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |