| NPI | 1144113903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SPARKS Owner 606-401-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-11-18 |