NPI | 1255857959 |
---|---|
Former Legal Business Name | CLEARWATER ABA, LLC |
Entity Type | Organization |
Authorized Contact | SONYA Y ASHLEY Behavior Analyst 254-294-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-24598) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2021-08-06 |