| NPI | 1295274082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FAITH BOETTCHER Executive Director/Behavior Analyst 540-455-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |