NPI | 1114285855 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY AGARWAL President 317-815-5501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IN 1-11-9389) |
Additional Taxonomies | 103K00000X Behavior Analyst |
103T00000X Psychologist | |
Enumeration Date | 2012-05-01 |
Last Update Date | 2023-11-10 |