| NPI | 1265120489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BROCK Owner 318-789-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-10-23 |