| 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 |