| NPI | 1225795891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE BURCHARD Owner 480-313-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |