| NPI | 1174233159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ARTEAGA Credentialing Supervisor 844-244-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |