| NPI | 1174298319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE I WORTMAN Owner 505-274-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |