| NPI | 1356611024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANN RUZICKA Board Certified Behavior Analyst 618-977-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1084838) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |