| NPI | 1275041907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRINA ARLEEN CALLAHAN Owner 228-326-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 160036) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-04-19 |