| NPI | 1134552797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L. GLASS Director Of Programing And Services 817-845-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 11312795) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2013-08-18 |