| NPI | 1225767940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ARTEAGA Credentialing Supervisor 844-854-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-10-31 |