| NPI | 1245628874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI BAUER Board Certified Behavior Analyst 270-339-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 0048) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KY 0108) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-20 |