| NPI | 1194671909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY OKORO Director 346-880-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 372500000X Chore Provider | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 106E00000X Assistant Behavior Analyst | |
| 235Z00000X Speech-Language Pathologist, | |
| 373H00000X Day Training/Habilitation Specialist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-07-01 |