| NPI | 1346581097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GENTRY President/CEO 602-312-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3913) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-15) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |