| NPI | 1174115174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DESANCTIS Regional Clinical Integrity Officer 888-754-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |