| NPI | 1326861956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL LIRAKIS Owner 802-917-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-03 |