| NPI | 1124542626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE JO FEHRMAN Billing Manger 605-271-2690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-10-08 |