| NPI | 1144095860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MANCUSO Chief Operating Officer 480-295-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |