| NPI | 1114688629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MACLEOD CEO 602-606-2237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |