| NPI | 1154875888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE OVERTON Chief Clinical Operator 724-944-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X (Licence: PA BH000521) |
| 251S00000X (Licence: OH COBA 195) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2019-01-24 |