| NPI | 1326903089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BRECHER Credentialing Manager 866-613-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2026-01-13 |