| NPI | 1275828923 |
|---|---|
| Doing Business As | LIFESONG ACADEMY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A DERK Owner, CEO 812-490-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-03-17 |