| NPI | 1245730357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE FEHRMAN Billing Manager 605-906-8806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-10-08 |