| NPI | 1114302999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAH STEIN Owner Clinical Director 574-329-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4169) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |