| NPI | 1346012192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KOZIARA Controller 810-534-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |