| NPI | 1194094110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE R YIP Clinical Director 317-503-1296 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-11-8855) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |