| NPI | 1336680248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA HOLMAN Director 856-230-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003223) |
| Additional Taxonomies | 251S00000X (Licence: PA BH003223) |
| 252Y00000X Early Intervention Provider Agency (Licence: PA BH003223) | |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |