| NPI | 1124690151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON R LAYMAN Clinical Director 502-807-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-12 |