| NPI | 1235609546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEPHANIE SHANELLE BARNES Owner 919-763-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |