| NPI | 1316705551 |
|---|---|
| Other Name | PEDIATRIC BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRANDON BERGQUIST CFO 970-256-8603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |