| NPI | 1265258479 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KAPRICE MILLER Licensed Behavior Consultant 267-235-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |