| NPI | 1295059418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L EAKIN Behavior Analyst 571-251-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 1-09-6402) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |