| NPI | 1275151987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE R KOCH CEO 765-661-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 224Z00000X Occupational Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-03-05 |