| NPI | 1316559594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DERONDE Manager 417-319-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-10-06 |