| NPI | 1376371104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KISZEWSKI Owner 248-988-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-09-11 |