| NPI | 1376395632 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YAJURVANTHY CHEVALA Organizer 770-790-7413  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-04-02 | 
| Last Update Date | 2024-04-04 |