| NPI | 1215401252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISHA GINGLES Owner 443-304-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2021-07-28 |