| NPI | 1194411413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CHANG Owner 808-271-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-08-30 |