| NPI | 1376415844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA EDWARDS Chief Clinical Officer 855-782-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |