| NPI | 1285239590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STANFORD Co Owner 228-229-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |