| NPI | 1104681170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER LYNN WOODING Owner 253-948-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-10-16 |