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 | 2024-11-21 |