| NPI | 1235504671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNA MYERS Board Certified Behavior Analyst 757-472-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000512) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |