| NPI | 1255053906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M GARY Owner 918-972-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-29 |