| NPI | 1336893379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WETHERALD Owner 229-343-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |