| NPI | 1275372831 |
|---|---|
| Doing Business As | SUCCESS ON THE SPECTRUM (SOS) HUMBLE |
| Entity Type | Organization |
| Authorized Contact | MIKAEL DWAYNE SIMPSON Owner 832-573-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |