| NPI | 1174946529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUNA MORIAH MIA WEISS-SALINAS Member 859-248-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 0024) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2023-06-29 |