| NPI | 1164131322 | 
|---|---|
| Doing Business As | LEGACY BEHAVIORAL SERVICES | 
| Entity Type | Organization | 
| Authorized Contact | LEXI TAYLOR WALTERS Bcba 970-270-7204  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Enumeration Date | 2022-11-16 | 
| Last Update Date | 2022-11-21 |