| NPI | 1275164865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI SHINABARGER Owner/Manager 406-552-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |