| NPI | 1194590729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VUNCANNON Executive Director 336-953-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |