| NPI | 1336705961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY D WALLS Clinical Director 706-940-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-03-17 |