| NPI | 1306342993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN MACURIK Bcba D 985-492-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 113) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-06-16 |