| NPI | 1194103713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HASCALL Director 804-617-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000208) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |