| NPI | 1093412579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY BURDICK CEO 971-208-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |