| NPI | 1114432176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS YANCE Owner 866-020-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-09-11 |