| NPI | 1144717661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE AUGUSTYN Clinical Supervisor 480-283-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-0274) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-01-15 |