| NPI | 1215816715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY BOWERS Owner 870-421-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2026-06-08 |