| NPI | 1134436561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDRIA MONIQUE SEALS CEO 866-752-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |