| NPI | 1366242182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACKERY S WEISSENBERG President 208-800-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-07-21 |