| NPI | 1275310658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY KRISTIN MRLA Founder & President 479-974-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-07 |