| NPI | 1225206105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LOPEZ Managing Member 505-828-3837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NM 0877) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2024-08-22 |