| NPI | 1114708054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SCHUM Owner 505-401-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-06-04 |