| NPI | 1316391840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DIOSDADO CEO 910-484-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |