| NPI | 1174071351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA CARLSON Clinical Director/ Owner 602-332-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 131) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |