| NPI | 1093250060 |
|---|---|
| Doing Business As | MOUNTAIN STATE ABA |
| Entity Type | Organization |
| Authorized Contact | EZRA HALL Owner 304-290-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-14-16309) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2022-01-04 |