| NPI | 1285524439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN PROTZEL Chief Executive Officer 573-559-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-14 |