| NPI | 1154695799 |
|---|---|
| Doing Business As | THE BISTA CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA M STEWART Clinical Supervisor 602-926-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-62) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |