NPI | 1134903560 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE REID Owner 725-777-9971 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |