| NPI | 1124558002 |
|---|---|
| Doing Business As | TO THE MAX BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEVIN THOMPSON Executive Director 270-993-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |