| NPI | 1194136739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA S MEHLENBACHER Executive Director 301-881-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000183) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |