| NPI | 1295139210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA JENNINGS Director 913-802-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2011031042) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MO 2011031042) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |