NPI | 1245976026 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ARTEAGA Credentialing Supervisor 844-854-1116 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-05 |
Last Update Date | 2024-10-31 |