| NPI | 1295319150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLA LOPEZ Credentialing 832-304-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2022-12-22 |