| NPI | 1336815026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILA OMAN Owner 269-665-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2022-09-09 |