| NPI | 1225526262 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALLYSON BRUMBACK PATTERSON Member 571-317-1446  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001138)  | 
| Enumeration Date | 2018-04-25 | 
| Last Update Date | 2021-12-10 |