| NPI | 1164108791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M BOUDREAU Owner 815-514-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |