| NPI | 1356994263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OZOWARA Owner 757-524-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-06-06 |