| NPI | 1205363744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HAVATIAN Bcba 720-705-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |