| NPI | 1154826469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE GRAVES Owner 507-401-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2021-08-25 |