NPI | 1144867854 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ARTEAGA Credentialing Supervisor 844-244-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2019-12-02 |
Last Update Date | 2022-09-09 |