| NPI | 1215784293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA DROUIN Owner 480-550-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |