| NPI | 1255992319 |
|---|---|
| Doing Business As | SISKIN CENTER FOR DEVELOPMENTAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE COOPER-WILKES Director Healthcare Administration 423-490-7727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |