NPI | 1356005599 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH RYAN BAIRD Manager 574-202-7115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 103K00000X Behavior Analyst |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
Enumeration Date | 2021-10-25 |
Last Update Date | 2025-08-21 |