| NPI | 1376098962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY GRUETZMACHER Director 703-789-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000741) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |