| NPI | 1235602285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN BAUMAN Owner 573-535-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-12-26 |