| NPI | 1215634118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA DAWN PAGONE-WILSON Licensed Behavior Analyst 936-252-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |